Ronald James Varcak, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2425 Issued in TN

Practice address

133 Hayes St
Crossville, TN 38555-8000

Phone

(931) 456-9434

Fax

(931) 456-5061

NPI assigned

Jun 10, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jacksonville Medical Professional Services LLC

  • Certified Registered Nurse Anesthetist
  • Jacksonville, AL
  • NPI 1073731774
  NPD (past)
• QHG of Jacksonville Inc

  • Anesthesiology Physician
  • Jacksonville, AL
  • NPI 1457458820
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1013911577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 HAYES ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385558000",
            "telephone_number": "931-456-9434",
            "fax_number": "931-456-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 HAYES ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385558000",
            "telephone_number": "931-456-9434",
            "fax_number": "931-456-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARCAK",
        "first_name": "RONALD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2425",
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "TN",
            "license": "2425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Apothecary Inc
• Okechukwu Cajetan Unogu
• Vicki S Upchurch, D.PH.
• Upper Cumberland Rural Health Clinic PLLC
• Shannon Brooke Van Horn, PHARMD
• Mallory Varner, MS, CCC-SLP
• Karen Varney
• Ryan Wagner Varnum
• Vascular Wellness Center Inc
• Victor a. Shada, D.O., P.C.

• Family Medicine Physician in Crossville, TN
• Providers in Crossville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.