IndividualActive
Michael Vadovsky, PA
NPI 1104337450 · Physician Assistant · Ellsworth Afb, SD
Provider details
- NPI number
- 1104337450
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2900 Doolittle Dr
Ellsworth Afb, SD 57706
Phone: (605) 385-3788
Street-level locationGet directions
Mailing address
2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821
Additional practice locations (1)
- 101 Bodin CirFairfield, CA 94535-1809Phone: (208) 590-9773
Registry dates
- Enumerated
- 2017-10-13
- Last updated
- 2019-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.