Active NPI
Vascular Surgical Associates, P. C.
- Specialist
- Johnson City, TN
National Provider Identifier
1124165345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- VASCULAR SURGICAL ASSOCIATES, P. C.
- Practice address
- 2 Professional Park Dr
Suite 11
Johnson City, TN 37604-6583 - Phone
- (423) 434-0642
- Fax
- (423) 434-9963
- NPI assigned
- Jan 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl C Nelson
- Title
- Billing Insurance
- Phone
- (423) 434-0642
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2 Professional Park Dr
Suite 11
Johnson City, TN 37604-6583
Mailing address
2 Professional Park Dr
Suite 11
Johnson City, TN 37604-6583
Phone (423) 434-0642
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355961600000",
"number": "1124165345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 PROFESSIONAL PARK DR",
"address_2": "SUITE 11",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046583",
"telephone_number": "423-434-0642",
"fax_number": "423-434-9963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 PROFESSIONAL PARK DR",
"address_2": "SUITE 11",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046583",
"telephone_number": "423-434-0642",
"fax_number": "423-434-9963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASCULAR SURGICAL ASSOCIATES, P. C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2012-12-20",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "BILLING INSURANCE",
"authorized_official_telephone_number": "423-434-0642"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.