Organization Active NPI

Vascular Wellness Center Inc

  • Vascular Surgery Physician
  • Crossville, TN
National Provider Identifier
1437356482
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD37623 Issued in TN
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

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
Dr. Thomas W Unruh, MD
Title
Physician Owner
Phone
(931) 787-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.