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TENNESSEE VALLEY VASCULAR CONSULTANTS PC NPI 1780613059


NPI Information

NPI: 1780613059
Provider Name: TENNESSEE VALLEY VASCULAR CONSULTANTS PC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
420 LOWELL DR SE
SUITE 500
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 265-7480
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TENNESSEE VALLEY VASCULAR CONSULTANTS PC is a vascular surgery surgery in Huntsville, AL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. TENNESSEE VALLEY VASCULAR CONSULTANTS PC NPI is 1780613059. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

420 LOWELL DR SE
SUITE 500
HUNTSVILLE, AL
ZIP 35801-754
Phone: (256) 265-7480
Fax: (256) 265-7481

The provider's authorized official is Fred S Stucky .
The authorized official title is President and has the following contact phone number (256) 265-7480.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 6/6/2008.


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 Surgery00016783ALABAMANo
22086S0129XSurgeryVascular Surgery00017567ALABAMANo
32086S0129XSurgeryVascular Surgery0008023ALABAMAYes

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
10005683727OTHERAETNA
2D45970MEDICARE UPIN
3051514735STUMEDICARE ID-TYPE UNSPECIFIEDALABAMA
4051514736MEDICAIDALABAMA
551514734JOHOTHERALABAMABLUE CROSS BLUE SHIELD
6P00000016OTHERALABAMAMEDICARE RAILROAD
7051514734MEDICAIDALABAMA
8051514736LOWMEDICARE ID-TYPE UNSPECIFIEDALABAMA
951514735STUOTHERALABAMABLUE CROSS BLUE SHIELD
10F75444MEDICARE UPIN
11051514735MEDICAIDALABAMA
12051514734JOHMEDICARE ID-TYPE UNSPECIFIEDALABAMA
13P00000017OTHERALABAMAMEDICARE RAILROAD
145735330001MEDICARE NSCALABAMA
150004070317OTHERAETNA
1651514736LOWOTHERALABAMABLUE CROSS BLUE SHIELD
17P00000018OTHERALABAMAMEDICARE RAILROAD
180005999121OTHERAETNA
19C70784MEDICARE UPIN

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.