Fred S Stucky Iii (NPI# 1992751754, PAC ID# 1658339916) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1992751754 |
| PAC ID by PECOS | 1658339916 |
| Professional Enrollment ID | I20050103000819 |
| Full Name | Fred S Stucky Iii |
| Organization Legal Name | VALLEY VASCULAR CONSULTANTS PC |
| Address |
1 Hospital Swdr Suite 300 Huntsville AL 35801-3495 |
| Phone Number | 2568854333 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | VASCULAR SURGERY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 5092994137 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010039 | HUNTSVILLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Hospital Swdr, Suite 300, Huntsville, AL 35801-3495 | 2568854333 | VALLEY VASCULAR CONSULTANTS PC |
| 101 Sivley Swrd, Huntsville, AL 35801-4421 | 2562656755 | VALLEY VASCULAR CONSULTANTS PC |
| Organization Legal Name | VALLEY VASCULAR CONSULTANTS PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mell B Welborn Iii | Vascular Surgery | Valley Vascular Consultants PC | 101 Sivley Swrd, Huntsville, AL 35801-4421 |
| Marco Cioppi | Vascular Surgery | Valley Vascular Consultants PC | 101 Sivley Swrd, Huntsville, AL 35801-4421 |
| Andrew Knott | Vascular Surgery | Valley Vascular Consultants PC | 101 Sivley Swrd, Huntsville, AL 35801-4421 |
| Catherine Meyer Mcmillen | Nurse Practitioner | Valley Vascular Consultants PC | 201 Sivley Swrd, Suite 530, Huntsville, AL 35801-5163 |
| Ronny C Johnson | Vascular Surgery | Valley Vascular Consultants PC | 101 Sivley Swrd, Huntsville, AL 35801-4421 |
| Street Address |
1 HOSPITAL SWDR SUITE 300 |
| City | HUNTSVILLE |
| State | AL |
| Zip | 35801-3495 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie M Burrell | Family Medicine | 1 Hospital Swdr, Huntsville, AL 35801-6455 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Gordon Mcmurray | Urology | 303 Williams Sw Ave, Suite 411, Huntsville, AL 35801 | |
| Peter S Wilson | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Diane C Winters | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Philip K. Wiles | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Raymond L Sheppard Jr. | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Clinton Scott Williams | Family Medicine | 420 Lowell Sedr, Suite 107, Huntsville, AL 35801 | |
| John H Lary | Internal Medicine | 600 St Clair Ave Sw, Bldg G Suite 12b, Huntsville, AL 35801 | |
| Bala M Chennupati | Internal Medicine | 250 Chateau Swdr, Suite 220, Huntsville, AL 35801 | |
| Daniel Boyett | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Manmohan K Ghanta | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Find all physicians in zip 35801 | |||
| City | HUNTSVILLE |
| Zip Code | 35801 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | HUNTSVILLE + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Fred S Stucky Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.