TENNESSEE VALLEY VASCULAR CONSULTANTS PC (NPI# 1780613059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780613059 |
| Entity Type | Organization |
| Organization Name | TENNESSEE VALLEY VASCULAR CONSULTANTS PC |
| Practice Address |
420 Lowell Dr Se Suite 500 Huntsville AL 35801-3754 |
| Practice Telephone | 2562657480 |
| Practice Fax Number | 2562657481 |
| Mailing Telephone | 2562657480 |
| Mailing Fax Number | 2562657481 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2008-06-06 |
| Authorized Official Name | FRED S STUCKY III (PRESIDENT) |
| Authorized Official Telephone | 2562657480 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
00016783 | AL | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
00017567 | AL | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
0008023 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 051514736 | 05 | |
| AL | BLUE CROSS BLUE SHIELD | 51514736LOW | 01 |
| AL | MEDICARE RAILROAD | P00000016 | 01 |
| AL | MEDICARE RAILROAD | P00000017 | 01 |
| AETNA | 0005999121 | 01 | |
| AETNA | 0005683727 | 01 | |
| AL | 051514734 | 05 | |
| AETNA | 0004070317 | 01 | |
| AL | 051514735 | 05 | |
| AL | BLUE CROSS BLUE SHIELD | 51514734JOH | 01 |
| AL | MEDICARE RAILROAD | P00000018 | 01 |
| AL | BLUE CROSS BLUE SHIELD | 51514735STU | 01 |
| Street Address |
420 LOWELL DR SE SUITE 500 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-3754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063404978 | Ali A M Hassoun | Internal Medicine | 420 Lowell Dr Se, Suite 301, Huntsville, AL 35801-3754 | 2005-08-17 |
| 1275984916 | John E Fanning,md,inc | Internal Medicine | 420 Lowell Dr Se, Suite 105, Huntsville, AL 35801-3754 | 2016-06-23 |
| 1114387289 | Tecie Haller | Nurse Practitioner | 420 Lowell Dr Se, Suite 204, Huntsville, AL 35801-3754 | 2016-03-02 |
| 1437564200 | Premier Internal Medicine Associates, PC | Internal Medicine | 420 Lowell Dr Se, Suite 302, Huntsville, AL 35801-3754 | 2014-06-30 |
| 1760896856 | Hh Digestive Disease Center | Nurse Practitioner | 420 Lowell Dr Se, Suite 204, Huntsville, AL 35801-3754 | 2014-06-17 |
| 1821331562 | David K Calderwood Md PC | Family Medicine | 420 Lowell Dr Se, Suite 201, Huntsville, AL 35801-3754 | 2013-04-01 |
| 1215294764 | Kay Shaw Thrash | Nurse Practitioner | 420 Lowell Dr Se, Suite 201, Huntsville, AL 35801-3754 | 2012-04-20 |
| 1861760951 | Michelle Darlene Tunstill | Licensed Practical Nurse | 420 Lowell Dr Se, Suite 105, Huntsville, AL 35801-3754 | 2011-12-05 |
| 1336424555 | Huntsville Clinic Lab LLC | Clinical Medical Laboratory | 420 Lowell Dr Se, Suite 201, Huntsville, AL 35801-3754 | 2011-10-19 |
| 1982916706 | Clinton Scott Williams, Md/pc | Family Medicine | 420 Lowell Dr Se, Suite 107, Huntsville, AL 35801-3754 | 2010-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| 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 |
|---|---|---|---|---|
| 1518473073 | Best Vein Care of Huntsville, LLC | Surgery | 2010 Southpoint Park Circle #170, Huntsville, AL 35801-5480 | 2017-12-20 |
| 1306155460 | Valley Vascular Consultants PC | Surgery | 201 Sivley Rd Sw Ste 530, Huntsville, AL 35801-5163 | 2010-10-06 |
| 1194071258 | Valley Vein and Cosmetics LLC | Surgery | 1 Hospital Dr Sw, Huntsville, AL 35801-6455 | 2012-07-26 |
| 1609049428 | North Alabama Vascular Consultants, PC | Surgery | 1 Hospital Dr Sw, Crestwood Medical Pavillion Suite 300, Huntsville, AL 35801-6455 | 2008-04-13 |
| 1710101852 | The Vascular Surgery Center of Hsv | Surgery | 1 Hospital Dr Sw, Suite 300, Huntsville, AL 35801-6455 | 2007-04-12 |
| 1861415986 | Andrew W Knott | Surgery | 201 Sivley Rd Sw, Suite 530, Huntsville, AL 35801-5134 | 2006-07-26 |
| 1922047018 | Ronny Carl Johnson | Surgery | 201 Sivley Rd Sw, Suite 530, Huntsville, AL 35801-5134 | 2006-06-05 |
| 1376590174 | Tracy Alan Lowery | Surgery | 185 Whitesport Dr Sw, Suite 2, Huntsville, AL 35801-6486 | 2006-05-27 |
| 1992751754 | Fred Sims Stucky IIi | Surgery | 201 Sivley Rd Sw, Suite 530, Huntsville, AL 35801-5134 | 2006-05-25 |
| 1790734051 | Rick Michiel Roberts | Surgery | 201 Sivley Rd Sw, Suite 305, Huntsville, AL 35801 | 2006-05-06 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
Please comment or provide details below to improve the information on TENNESSEE VALLEY VASCULAR CONSULTANTS PC.
| 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.