Organization Active NPI

Sequatchie Valley Urology LLC

  • Urology Physician
  • Jasper, TN
National Provider Identifier
1427134147
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
SEQUATCHIE VALLEY UROLOGY LLC
Practice address
1000 Highway 28
Jasper, TN 37347-3638
Phone
(423) 837-9500
Fax
(423) 837-3333
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Daniel C Aranda
Title
Administrator
Phone
(423) 837-3334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

1000 Highway 28
Jasper, TN 37347-3638

Mailing address

1000 Highway 28
Jasper, TN 37347-3638
Phone (423) 837-9500

National Provider Directory

National Provider Directory

Locations

25 Spring St
Monteagle, TN 37356
Phone (931) 924-2300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427134147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 28",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473638",
            "telephone_number": "423-837-9500",
            "fax_number": "423-837-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 28",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473638",
            "telephone_number": "423-837-9500",
            "fax_number": "423-837-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUATCHIE VALLEY UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARANDA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-837-3334",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, 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.

Verify at the official NPI Registry.