Tennessee Valley Vascular Consultants Pc in Huntsville - Vascular Surgery
Tennessee Valley Vascular Consultants Pc - NPI 1780613059
Tennessee Valley Vascular Consultants Pc is a Vascular Surgery in Huntsville, Alabama. Tennessee Valley Vascular Consultants Pc practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Tennessee Valley Vascular Consultants Pc is 1780613059. The last update date is 2008-06-06.
Tennessee Valley Vascular Consultants Pc's current location address is 420 Lowell Dr Se, Huntsville, Alabama. You can contact this provider via phone number 2562657480 and fax number 2562657481. The mailing address for Tennessee Valley Vascular Consultants Pc is 420 Lowell Dr Se, Huntsville, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tennessee Valley Vascular Consultants Pc |
|---|---|
| Address | 420 Lowell Dr Se, Huntsville, Alabama |
| Phone Number | 2562657480 |
| Fax Number | 2562657481 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Stucky S Fred |
| Credentials | MD |
| Telephone Number | 2562657480 |
NPI Number Detail
| NPI Number | 1780613059 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2008-06-06 |
Provider Mailing Address Detail
| Address | 420 Lowell Dr Se |
|---|---|
| City | Huntsville |
| State | Alabama (AL) |
| Post Code | 358013754 |
| Phone Number | 2562657480 |
| Fax Number | 2562657481 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 16783 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51514735STU | AL | BLUE CROSS BLUE SHIELD | |
| 51514734JOH | AL | BLUE CROSS BLUE SHIELD | |
| P00000016 | AL | MEDICARE RAILROAD | |
| 51514735 | AL | -- | |
| 5683727 | AETNA | ||
| 51514734 | AL | -- | |
| P00000018 | AL | MEDICARE RAILROAD | |
| 51514736 | AL | -- | |
| 51514736LOW | AL | BLUE CROSS BLUE SHIELD | |
| P00000017 | AL | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique identifier code issued to Tennessee Valley Vascular Consultants Pc by the Centers for Medicare & Medicaid Services?
The Tennessee Valley Vascular Consultants Pc has been assigned the NPI (National Provider Identifier) 1780613059. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tennessee Valley Vascular Consultants Pc?
The Tennessee Valley Vascular Consultants Pc is physically situated at 420 Lowell Dr Se, in the city of Huntsville, state of AL, with the postal code 358013754.
What is the area of specialization for Tennessee Valley Vascular Consultants Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tennessee Valley Vascular Consultants Pc is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780613059 to Tennessee Valley Vascular Consultants Pc?
The Tennessee Valley Vascular Consultants Pc received its 1780613059 assignment from the Centers for Medicare & Medicaid Services on 2006-06-30.
When was the Tennessee Valley Vascular Consultants Pc's information last updated?
The Tennessee Valley Vascular Consultants Pc's information was last updated on 2008-06-06.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY