National Provider Identifier Database

MATTHEW A PASSALACQUA, DO – NPI #1639152457
Vascular & Interventional Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Contact Information

MATTHEW A PASSALACQUA, DO
11100 EUCLID AVENUE
CLEVELAND, OH  44106
Phone: 216-844-1700
Fax:
Website:
Specialty Taxonomy Code
* Vascular & Interventional Radiology 2085R0204X
Body Imaging 2085B0100X
Diagnostic Neuroimaging 2085D0003X
Diagnostic Radiology 2085R0202X
Diagnostic Ultrasound 2085U0001X
Hospice and Palliative Medicine 2085H0002X
In Vivo & In Vitro Nuclear Medicine 207UN0903X
Neuroradiology 2085N0700X
Nuclear Cardiology 207UN0901X
Nuclear Imaging & Therapy 207UN0902X
Nuclear Medicine 207U00000X
Nuclear Radiology 2085N0904X
Pediatric Radiology 2085P0229X
Radiation Oncology 2085R0001X
Radiation Oncology 2085R0203X

* Indicates primary specialty

NPI Profile & details for MATTHEW A PASSALACQUA

NPI Number 1639152457
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/25/2005
Last updated 10/30/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • OH License #: 34005244
  • OH License #: 34005244P
  • OH Medicaid: 0924398
  • OH Other: 5261551 AETNA
  • OH Other: 000000550367 ANTHEM
  • OH Other: 000000364066 ANTHEM ID
  • OH Other: 0304914 BCMH
  • OH Other: 733909 BUCKEYE
  • OH Other: P00224514 RAILROAD MEDICARE
  • OH Other: P00454367 RAILROAD MEDICARE
  • OH Other: 421816 WELLCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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