EAST TENNESSEE VASCULAR CENTER, PLLC (NPI# 1508879719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508879719 |
| Entity Type | Organization |
| Organization Name | EAST TENNESSEE VASCULAR CENTER, PLLC |
| Practice Address |
1125 W 1st North St Ste. B Morristown TN 37814-4562 |
| Mailing Address |
Po Box 1855 Morristown TN 37816-1855 |
| Practice Telephone | 4233176560 |
| Practice Fax Number | 4233176570 |
| Mailing Telephone | 4233176560 |
| Mailing Fax Number | 4233176570 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2011-09-29 |
| Authorized Official Name | MR. SHAHIN ASSADNIA (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 4233176560 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD35881 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | INDIVIDUAL NPI | 1114909538 | 01 |
| TN | 3723200 | 05 | |
| TN | INDIVIDUAL NPI | 1639178932 | 01 |
| TN | BLUE CROSS BLUE SHIELD | 4075540 | 01 |
| TN | RAILROAD MEDICARE | P00122001 | 01 |
| Street Address |
1125 W 1ST NORTH ST STE. B |
| City | MORRISTOWN |
| State | TN |
| Zip Code | 37814-4562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639178932 | Shahin Assadnia | Surgery | 1125 W 1st North St, Ste. B, Morristown, TN 37814-4562 | 2005-07-19 |
| 1497181119 | Jennifer Nicole Cole | Nurse Practitioner | 1125 W 1st North St, Suite B, Morristown, TN 37814-4562 | 2013-09-26 |
| 1053631713 | Sarah A Honaker | Nurse Practitioner | 1125 W 1st North St, Ste. B, Morristown, TN 37814-4562 | 2010-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700357035 | Morristown Heart, Pllc | Internal Medicine | Morristown Heart, Pllc, 735 Mcfarland Street, Morristown, TN 37814 | 2018-12-16 |
| 1669942207 | Amanda Madeline Still | Case Manager/Care Coordinator | 310 West Third North Street, Morristown, TN 37814 | 2018-11-27 |
| 1750858353 | April Caroline Lankford | Case Manager/Care Coordinator | 310 W 3rd North Street, Morristown, TN 37814 | 2018-11-01 |
| 1588165112 | Cara Victoria Jill Mcmahan | Registered Nurse | 310 W 3rd N Street, Morristown, TN 37814 | 2018-02-28 |
| 1770084303 | Janine Barnett | Case Manager/Care Coordinator | 210 W. 3rd North Street, Morristown, TN 37814 | 2018-02-28 |
| 1831616655 | Genoa Healthcare, LLC | Pharmacy | 310 W 3rd North St Ste Pharm, Morristown, TN 37814 | 2017-08-23 |
| 1124542113 | Jenny Lothamer Withem | Speech-Language Pathologist | 6205 Wintergreen Rd, Morristown, TN 37814 | 2017-08-01 |
| 1568998011 | Urgent Care LLC Dba This Visit | Clinic/Center | 2261 Sandstone Drive, Morristown, TN 37814 | 2017-05-03 |
| 1225587157 | Urgent Care LLC Dba This Visit | Clinic/Center | 2261 Sandstone Dr., Morristown, TN 37814 | 2016-10-04 |
| 1225406317 | Alps Adult Day Services | Clinic/Center | 600 N. Daisy St., Morristown, TN 37814 | 2015-09-08 |
| Find all providers in zip 37814 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447784 | Heritage Wound Care LLC | Surgery | 163 Madison Ave Ste 220, Morristown, NJ 07960-7325 | 2019-09-23 |
| 1629418975 | Brian D. Wernick | Surgery | 131 Madison Ave Fl 2, Morristown, NJ 07960-7360 | 2013-07-01 |
| 1639178932 | Shahin Assadnia | Surgery | 1125 W 1st North St, Ste. B, Morristown, TN 37814-4562 | 2005-07-19 |
| 1821366295 | Vascular Research Institute, Inc. | Surgery | 131 Madison Ave, 2nd Floor, Morristown, NJ 07960-7360 | 2011-12-13 |
| 1801006838 | Omer Junaid Riaz | Surgery | 131 Madison Ave, 2nd Fl, Morristown, NJ 07960-7360 | 2007-05-22 |
| 1689690786 | Michael Resnikoff | Surgery | 131 Madison Ave, 2nd Floor, Morristown, NJ 07960-7360 | 2006-07-14 |
| 1528084621 | Thomas Y Lee | Surgery | 131 Madison Ave, 2nd Floor, Morristown, NJ 07960-7360 | 2006-07-14 |
| 1255357257 | Amit V Patel | Surgery | 131 Madison Ave, 2nd Floor, Morristown, NJ 07960-7360 | 2006-07-14 |
| 1700811353 | Kevin V James | Surgery | 131 Madison Ave, 2nd Floor, Morristown, NJ 07960-7360 | 2006-07-12 |
| 1114997426 | Michael Ombrellino | Surgery | 95 Madison Ave, Suite 109, Morristown, NJ 07960-6092 | 2006-01-26 |
| Find all providers in MORRISTOWN | ||||
| City | MORRISTOWN |
| Zip Code | 37814 |
Please comment or provide details below to improve the information on EAST TENNESSEE VASCULAR CENTER, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.