Northeast Alabama Vascular and Vein Specialist

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

NORTHEAST ALABAMA VASCULAR AND VEIN SPECIALIST

Practice address

11491 US Highway 431
Albertville, AL 35950-0136

Phone

(256) 894-6800

Fax

(256) 894-6808

NPI assigned

Jun 27, 2019

Organization subpart

Yes

Parent organization

HH HEALTH SYSTEM - MARSHALL LLCAs reported in NPPES

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

Authorized official

Name

Mr. Taylor Walker

Title

Cfo

Phone

(256) 894-6600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Part of

HH Health System - Marshall

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• HH Health System - Marshall LLC

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Allen Shultz, CRNP

  • Acute Care Nurse Practitioner
  • Boaz, AL
  • NPI 1902342983
  Medicare reassignment Care Compare group NPD
• Alan K Willis, M.D.

  • Vascular Surgery Physician
  • Boaz, AL
  • NPI 1225219256
  Medicare reassignment Care Compare group NPD
• Sean J English, MD

  • Vascular Surgery Physician
  • Albertville, AL
  • NPI 1578772513
  Medicare reassignment

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1164083218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 BRITTANY RD",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359765766",
            "telephone_number": "256-894-6800",
            "fax_number": "256-894-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11491 US HIGHWAY 431",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359500136",
            "telephone_number": "256-894-6800",
            "fax_number": "256-894-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ALABAMA VASCULAR AND VEIN SPECIALIST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HH HEALTH SYSTEM - MARSHALL LLC",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-894-6600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Nixon, MS ALC
• North Bama Medical Collective, LLC
• Northeast Alabama Family Foot Care, PC
• Northeast Alabama Family Footcare,L.L.C.
• Northeast Alabama Occupational Medicine
• Northland Hearing Centers, Inc.
• Occupational Medicine Plus Urgent Care, LLC
• Oral Surgery Associates, PC
• Jeremy Howard Osborn, PHARM D.
• Outside the Box Healthcare LLC

• Vascular Surgery Physician in Albertville, AL
• Providers in Albertville, AL by specialty
• Vascular Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.