Valley Vascular Consultants PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

8023 Issued in AL

Legal business name

VALLEY VASCULAR CONSULTANTS PC

Practice address

201 Sivley Rd SW Ste 530
Huntsville, AL 35801-5163

Phone

(256) 265-7480

Fax

(256) 265-7481

NPI assigned

Oct 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ronny Carl Johnson, MD

Title

President

Phone

(256) 265-7480

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 5

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

• Marco Cioppi, MD

  • Vascular Surgery Physician
  • Huntsville, AL
  • NPI 1437117603
  Medicare reassignment Care Compare group NPD
• Andrew W Knott, MD

  • Vascular Surgery Physician
  • Huntsville, AL
  • NPI 1861415986
  Medicare reassignment Care Compare group NPD
• Mell Burress Welborn III, M.D.

  • Vascular Surgery Physician
  • Huntsville, AL
  • NPI 1093763310
  Medicare reassignment Care Compare group NPD
• Benjamin David Shepherd, M.D.

  • Vascular Surgery Physician
  • Huntsville, AL
  • NPI 1346680782
  Medicare reassignment Care Compare group
• Karen Parks Rudolph, MD

  • Vascular Surgery Physician
  • Chattanooga, TN
  • NPI 1578838629

  AL

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1306155460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SIVLEY RD SW STE 530",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015163",
            "telephone_number": "256-265-7480",
            "fax_number": "256-265-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SIVLEY RD SW STE 530",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015163",
            "telephone_number": "256-265-7480",
            "fax_number": "256-265-7481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4810 Whitesport Cir SW Ste 204",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358017420",
            "country_code": "US",
            "telephone_number": "256-265-7480",
            "fax_number": "256-265-7481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY VASCULAR CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-06",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RONNY",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-265-7480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": "8023",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": "17567",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": "28901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Center for Nerve Studies and Rehabilitation
• Valley Family Physician Care
• Valley Family Physician Care PC
• Valley Spine and Pain LLC
• Valley Vascular Access Center, LLC
• Valley Vein and Cosmetics LLC
• Valley Vision Center, Inc.
• Valleyview Family Medicine
• Valor Hart LLC
• Joshusa D Valtos, MD

• Vascular Surgery Physician in Huntsville, AL
• Providers in Huntsville, 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 Jul 27, 2020; 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.