Tif W Siragusa

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

43966 Issued in TN

Legal business name

TIF W SIRAGUSA

Doing business as

Vein & Vascular Center of Nashville PLLC

Practice address

5651 Frist Blvd
Suite 414
Hermitage, TN 37076-2054

Phone

(615) 884-7600

NPI assigned

Mar 16, 2012

Organization subpart

No

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

Authorized official

Name

Tif William Siragusa, MD

Title

President

Phone

(615) 884-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vein & Vascular Center of Nashville PLLC Doing business as

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1346515897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD",
            "address_2": "SUITE 414",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762054",
            "telephone_number": "615-884-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD",
            "address_2": "SUITE 414",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762054",
            "telephone_number": "615-884-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIF W SIRAGUSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "SIRAGUSA",
        "authorized_official_first_name": "TIF",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-884-7600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "43966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1527328",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vein & Vascular Center of Nashville PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harold Delane Thompson Jr., MD
• Jean Thompson, BCBA
• Laura Thompson, DMD
• Rhonda Lou Thompson, APN
• Tibbs Family Dentistry, PLLC
• Kiana Michelle Tisdale, PHARM.D.
• Tod R Bushman DPM PC
• Robert David Todd, MD
• Irina Tollerson
• Tom Evans Physical Therapy LLC

• Vascular Surgery Physician in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Vascular Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.