East Tennessee Vascular Center, PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD35881 Issued in TN

Legal business name

EAST TENNESSEE VASCULAR CENTER, PLLC

Practice address

1125 W 1St North St
Ste. B
Morristown, TN 37814-4562

Phone

(423) 317-6560

Fax

(423) 317-6570

NPI assigned

Aug 15, 2006

Last updated

Sep 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shahin Assadnia, M.D.NPI 1639178932

Title

Physician/Owner

Phone

(423) 317-6560

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shahin Assadnia, M.D.

  • Vascular Surgery Physician
  • Morristown, TN
  • NPI 1639178932
  Authorized official Same address or phone
• Timothy Eugene Ballard, ACNP

  • Acute Care Nurse Practitioner
  • Knoxville, TN
  • NPI 1053411355
  NPD (past)
• Betty Jo Ellington, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Jefferson City, TN
  • NPI 1114909538
  NPD (past)
• Sarah A Honaker, FNP

  • Family Nurse Practitioner
  • Newport, TN
  • NPI 1053631713
  NPD (past)
• Terrance Roland Reeves, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Navarre, FL
  • NPI 1285662635
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1508879719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1855",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378161855",
            "telephone_number": "423-317-6560",
            "fax_number": "423-317-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W 1ST NORTH ST",
            "address_2": "STE. B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378144562",
            "telephone_number": "423-317-6560",
            "fax_number": "423-317-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSEE VASCULAR CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "ASSADNIA",
        "authorized_official_first_name": "SHAHIN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "423-317-6560",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "MD35881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1114909538",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723200",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1639178932",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4075540",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00122001",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Tennessee Center for Orthopaedic Excellence PLLC
• East Tennessee Clinic Corp
• East Tennessee Comprehensive Rehabilitation Center Inc
• East Tennessee Oral & Maxillofacial Surgery, PC
• East Tennessee Pathology, PLLC
• East TN Pharmacist Consultants
• Terry Ann Eckert
• Meirav Edlis Matityahou
• Edward H Moody Jr DDS PC
• Devin Shane Edwards, M.D.

• Vascular Surgery Physician in Morristown, TN
• Providers in Morristown, 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 Sep 29, 2011; 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.