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VASCULAR ASSOCIATES PC NPI 1154421428


NPI Information

NPI: 1154421428
Provider Name: VASCULAR ASSOCIATES, PC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
2515 DESALES AVE
SUITE 206
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 629-6550
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VASCULAR ASSOCIATES, PC is a vascular surgery surgery in Chattanooga, TN. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. VASCULAR ASSOCIATES, PC NPI is 1154421428. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2515 DESALES AVE
SUITE 206
CHATTANOOGA, TN
ZIP 37404-100
Phone: (423) 629-6550
Fax: (423) 629-0612

The provider's authorized official is Anthony Bradley Boland .
The authorized official title is President and has the following contact phone number (423) 629-6550.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1VAMEDICAIDTENNESSEE
2AS26943330004OTHERTENNESSEECIGNA COMM
33138958OTHERTENNESSEEBLUECROSS OF TN
43721850MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.