VASCULAR ASSOCIATES, PC (NPI# 1154421428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154421428 |
| Entity Type | Organization |
| Organization Name | VASCULAR ASSOCIATES, PC |
| Practice Address |
2515 Desales Ave Suite 206 Chattanooga TN 37404-1100 |
| Mailing Address |
Po Box 116976 Atlanta GA 30368-6976 |
| Practice Telephone | 4236296550 |
| Practice Fax Number | 4236290612 |
| Mailing Telephone | 4236296550 |
| Mailing Fax Number | 4236290612 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ANTHONY BRADLEY BOLAND (PRESIDENT) |
| Authorized Official Telephone | 4236296550 |
| 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 |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | VA | 05 | |
| TN | CIGNA COMM | AS26943330004 | 01 |
| TN | BLUECROSS OF TN | 3138958 | 01 |
| TN | 3721850 | 05 |
| Street Address |
2515 DESALES AVE SUITE 206 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932181245 | Donald Paul Hetzel | Internal Medicine | 2515 Desales Ave, Suite 206, Chattanooga, TN 37404-1100 | 2005-11-14 |
| 1316226616 | Shannon Higgins Faires | Nurse Practitioner | 2515 Desales Ave, Suite 206, Chattanooga, TN 37404-1100 | 2011-08-04 |
| 1306036447 | William M Cooney | Internal Medicine | 2515 Desales Ave, Ste 206, Chattanooga, TN 37404-1100 | 2007-07-25 |
| 1710080973 | Digestive Health Associates, PC | Internal Medicine | 2515 Desales Ave, Suite 206, Chattanooga, TN 37404-1100 | 2006-09-06 |
| 1740256197 | The Associates of Memorial Mission Surgery Center, LLC | Clinic/Center | 2515 Desales Ave, Chattanooga, TN 37404-1100 | 2006-02-27 |
| 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 |
| 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.