Active NPI
Vascular Associates, PC
- Vascular Surgery Physician
- Chattanooga, TN
National Provider Identifier
1154421428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- VASCULAR ASSOCIATES, PC
- Practice address
- 2515 Desales Ave
Suite 206
Chattanooga, TN 37404-1100 - Phone
- (423) 629-6550
- Fax
- (423) 629-0612
- NPI assigned
- Sep 25, 2006
- 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
- Dr. Anthony Bradley Boland, M.D.
- Title
- President
- Phone
- (423) 629-6550
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
2515 Desales Ave
Suite 206
Chattanooga, TN 37404-1100
Mailing address
PO Box 116976
Atlanta, GA 30368-6976
Phone (423) 629-6550
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3721850 | Medicaid | TN | |
| 3138958 | Other | TN | BLUECROSS OF TN |
| AS26943330004 | Other | TN | CIGNA COMM |
| VA | Medicaid | TN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Vascular Surgery Physician
- Jackson, MS
- NPI 1437135373
-
- Vascular Surgery Physician
- Johnson City, TN
- NPI 1558355511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154421428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 116976",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303686976",
"telephone_number": "423-629-6550",
"fax_number": "423-629-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 DESALES AVE",
"address_2": "SUITE 206",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041100",
"telephone_number": "423-629-6550",
"fax_number": "423-629-0612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASCULAR ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BOLAND",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "BRADLEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "423-629-6550",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3721850",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS OF TN",
"identifier": "3138958",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA COMM",
"identifier": "AS26943330004",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "VA",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.