Active NPI
Vascular Wellness Center Inc
- Vascular Surgery Physician
- Crossville, TN
National Provider Identifier
1437356482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD37623
- Legal business name
- VASCULAR WELLNESS CENTER INC
- Practice address
- 1720 West Ave Ste 103
Crossville, TN 38555-6066 - Phone
- (931) 787-1000
- Fax
- (931) 787-1001
- NPI assigned
- Jul 2, 2007
- 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
- Dr. Thomas W Unruh, MD
- Title
- Physician Owner
- Phone
- (931) 787-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MD37623 | TN | Primary |
Addresses
Primary practice location
1720 West Ave Ste 103
Crossville, TN 38555-6066
Mailing address
PO Box 2715
Crossville, TN 38557-2715
Phone (931) 787-1000
National Provider Directory
National Provider DirectoryLocations
1720 West Ave
Ste 103
Crossville, TN 38555
Phone (931) 787-1000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437356482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2715",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385572715",
"telephone_number": "931-787-1000",
"fax_number": "931-787-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 WEST AVE STE 103",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385556066",
"telephone_number": "931-787-1000",
"fax_number": "931-787-1001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASCULAR WELLNESS CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "UNRUH",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "931-787-1000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "TN",
"license": "MD37623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crossville, 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.