MIDDLE TENNESSEE VASCULAR ASSOCIATES, PLC (NPI# 1700198793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700198793 |
| Entity Type | Organization |
| Organization Name | MIDDLE TENNESSEE VASCULAR ASSOCIATES, PLC |
| Practice Address |
808 Hatcher Ln Columbia TN 38401-3524 |
| Practice Telephone | 9313886256 |
| Practice Fax Number | 9315408732 |
| Mailing Telephone | 9313886256 |
| Mailing Fax Number | 9315408732 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |
| Authorized Official Name | DR. CARY W PULLIAM (CHIEF MANAGER) |
| Authorized Official Telephone | 6157914790 |
| 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 |
TN15444 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
808 HATCHER LN |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401-3524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588845838 | Columbia Surgery Group, P.C. | Specialist | 808 Hatcher Ln, Columbia, TN 38401-3524 | 2007-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| 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 |
|---|---|---|---|---|
| 1619375300 | Curt Milton Vogel II | Surgery | 3707 Woodridge Ct, Columbia, MO 65201-6532 | 2014-12-11 |
| 1811330830 | Patrick Yu | Surgery | 1222 Trotwood Ave Ste 211, Columbia, TN 38401-6405 | 2013-04-09 |
| 1023000858 | David Deaton | Surgery | 2 Medical Park Rd Ste 300, Columbia, SC 29203-6839 | 2005-08-18 |
| 1477017606 | Ashley Torroni Hazelrigg | Surgery | 3 Richland Medical Park Dr Ste 330, Columbia, SC 29203-6862 | 2019-01-22 |
| 1982086948 | Safoora Mahmood Choudry | Surgery | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 | 2015-06-25 |
| 1588923668 | Kathryn Fong | Surgery | 3 Richland Medical Park Dr Ste 330, Columbia, SC 29203-6862 | 2012-05-10 |
| 1104054162 | Naveen Balasundaram | Surgery | One Hospital Dr, Columbia, MO 65212-0001 | 2009-06-29 |
| 1396914321 | Erica Hope Salinas | Surgery | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 | 2008-02-24 |
| 1265621635 | John Brian Kendrick | Surgery | 1222 Trotwood Ave, Suite 211, Columbia, TN 38401-6436 | 2007-10-22 |
| 1811041643 | Jonathan Bath | Surgery | 1 Hospital Drive, Columbia, MO 65212-0001 | 2007-01-22 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on MIDDLE TENNESSEE VASCULAR ASSOCIATES, PLC.
| 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.