Active NPI
Tennessee Valley Cardiovascular Center, PC
- Cardiovascular Disease Physician
- Sheffield, AL
National Provider Identifier
1255417598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 23786
- Legal business name
- TENNESSEE VALLEY CARDIOVASCULAR CENTER, PC
- Practice address
- 1120 S Jackson Hwy
Suite 302
Sheffield, AL 35660-5777 - Phone
- (256) 383-8066
- Fax
- (256) 383-8727
- NPI assigned
- Oct 30, 2006
- Last updated
- Apr 29, 2008
- 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
- Tammy Varie Haddock
- Title
- Credentials Specialist
- Phone
- (256) 766-2118
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 23786 | AL | Primary |
Addresses
Primary practice location
1120 S Jackson Hwy
Suite 302
Sheffield, AL 35660-5777
Mailing address
1120 S Jackson Hwy
Suite 302
Sheffield, AL 35660-5777
Phone (256) 383-8066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529202460 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
1120 S Jackson Hwy
Ste 204
Sheffield, AL 35660
Phone (256) 381-8811
Practitioners & 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.
-
- Cardiovascular Disease Physician
- Florence, AL
- NPI 1124025713
-
- Interventional Cardiology Physician
- Lafayette, LA
- NPI 1487862702
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209427200000",
"number": "1255417598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 S JACKSON HWY",
"address_2": "SUITE 302",
"city": "SHEFFIELD",
"state": "AL",
"postal_code": "356605777",
"telephone_number": "256-383-8066",
"fax_number": "256-383-8727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S JACKSON HWY",
"address_2": "SUITE 302",
"city": "SHEFFIELD",
"state": "AL",
"postal_code": "356605777",
"telephone_number": "256-383-8066",
"fax_number": "256-383-8727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENNESSEE VALLEY CARDIOVASCULAR CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-30",
"last_updated": "2008-04-29",
"status": "A",
"authorized_official_last_name": "HADDOCK",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "VARIE",
"authorized_official_title_or_position": "CREDENTIALS SPECIALIST",
"authorized_official_telephone_number": "256-766-2118"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AL",
"license": "23786",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529202460",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sheffield, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.