Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VINCENT MACINO, PA
ActiveVINCENT MACINO, PA is a Physician Assistant healthcare provider located in MATTOON, Illinois. NPI 1497291926 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MATTOON, IL
Registration Details
- NPI Number
- 1497291926
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2017 (9.583021482323 yrs)
- Last Updated
- Mar 5, 2026
- Licenses
-
25MP00899800 (NJ)TPPA811 (FL)0110010584 (VA)085008400 (IL)50.009240RX (OH)
Practice Information
- Address
-
1201 WOODDELL WAY STE BMATTOON, IL, 619381014Browse IL providers · Browse ZIP 61938
- Phone
- 2172383000
- Fax
- 2172383008
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in MATTOON, IL
| Name | Credential | NPI |
|---|---|---|
| STACEY HARMINSON | PA-C | 1710093018 |
| MRS. BETHANY AMELIA YOCHUM | PA-C | 1699923961 |
| ARIELLE A. WOLF | PA-C | 1255683074 |
| MS. CANDIDA ANN HALLEY | PA-C | 1639510423 |
| MICHAEL HEISE | PA | 1740619840 |
| THOMAS DUST | PA-C | 1477984656 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.