DR. LARRY RICHARD SPROUSE II (NPI# 1730173634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730173634 |
| Entity Type | Individual |
| Full Name | DR. LARRY RICHARD SPROUSE II |
| Credential | M.D. |
| Practice Address |
2501 Citico Ave Chattanooga TN 37404-1127 |
| Practice Telephone | 4236972000 |
| Practice Fax Number | 4236972320 |
| Mailing Telephone | 4236972000 |
| Mailing Fax Number | 4236972320 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2020-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD35273 | TN | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
35273 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1515824 | 05 | |
| AL | 009933539 | 05 | |
| GA | 611990120A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2501 Citico Ave, Chattanooga, TN 374041127 | 4236972000 | 4236972320 |
| Street Address |
2501 CITICO AVE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077011 | Gordon D Graham | Internal Medicine | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2005-07-18 |
| 1215575113 | Abigail N Burroughs | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2019-12-11 |
| 1730721465 | Cathy C Patty | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2019-10-15 |
| 1447725882 | Damon Pulliam | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2018-10-12 |
| 1962980169 | Gregory A Evans | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2018-07-31 |
| 1467965707 | Josue B Mendoza | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2017-11-08 |
| 1548781156 | Sally W Randall | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2017-07-05 |
| 1225582141 | Corinne Ann Hinson | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2016-08-09 |
| 1073988903 | Enesa Spreco | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2015-12-03 |
| 1396120408 | Joshua Paul Black | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2015-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| 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 |
|---|---|---|---|---|
| 1972129534 | Aadi, LLC | Surgery | 7425 Ziegler Rd Ste 101, Chattanooga, TN 37421-4178 | 2020-06-19 |
| 1578838629 | Karen Parks Rudolph | Surgery | 2108 E 3rd Street, Chattanooga, TN 37404-1622 | 2012-03-21 |
| 1477744035 | Sachin Vijaykumar Phade | Surgery | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2007-08-07 |
| 1487864666 | Jeffrey S Horn | Surgery | 2108 E 3rd St, Suite 200, Chattanooga, TN 37404-2600 | 2007-05-23 |
| 1154421428 | Vascular Associates, PC | Surgery | 2515 Desales Ave, Suite 206, Chattanooga, TN 37404-1100 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215548375 | Center for Vein Restoration Tn Pllc | Surgery | 6005 Park Ave Ste 225b, Memphis, TN 38119-5207 | 2020-08-12 |
| 1871002055 | Sumner Physician Practices LLC | Surgery | 225 Big Station Camp Blvd Ste 211, Gallatin, TN 37066-8466 | 2017-09-20 |
| 1679969729 | Jeffrey Thomas Johnston | Surgery | 910 Madison Ave Fl 2, Memphis, TN 38103-3403 | 2015-04-15 |
| 1811330830 | Patrick Yu | Surgery | 1222 Trotwood Ave Ste 211, Columbia, TN 38401-6405 | 2013-04-09 |
| 1588857148 | James Eric Gardner, Md | Surgery | 400 Market Blvd, Collierville, TN 38017-6516 | 2007-08-27 |
| 1437356482 | Vascular Wellness Center Inc | Surgery | 1720 West Ave Ste 103, Crossville, TN 38555-6066 | 2007-07-02 |
| 1528289808 | Shaun Michael Stickley | Surgery | 1325 Eastmoreland Ave Ste 310, Memphis, TN 38104-7544 | 2007-05-02 |
| 1164598876 | Patrick W Meacham | Surgery | 353 New Shackle Island Rd Suite 348c, Hendersonville, TN 37075 | 2006-11-27 |
| 1992813158 | Larry Dale Burke | Surgery | 6025 Walnut Grove Rd Ste 311, Memphis, TN 38120-2123 | 2006-08-28 |
| 1902827728 | Christopher Scott Callicutt | Surgery | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2006-07-21 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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| 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.