Organization Active NPI

Cardiac and Vascular Associates, P.C.

  • Cardiovascular Disease Physician
  • Chattanooga, TN
National Provider Identifier
1619997533
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
24470 Issued in TN
Legal business name
CARDIAC AND VASCULAR ASSOCIATES, P.C.
Practice address
1032 McCallie Ave
Ste 200
Chattanooga, TN 37403-2800
Phone
(423) 693-2400
Fax
(423) 693-2499
NPI assigned
Jul 21, 2006
Last updated
Jan 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Authorized official

Name
Alexander A Stratienko, MDNPI 1821018284
Title
President
Phone
(423) 693-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 24470 TN Primary

Addresses

Primary practice location

1032 McCallie Ave
Ste 200
Chattanooga, TN 37403-2800

Mailing address

1032 McCallie Ave
Ste 200
Chattanooga, TN 37403-2800
Phone (423) 693-2400

Other identifiers 2

IdentifierTypeStateIssuer
CG7405OtherRAILROAD MEDICARE
529907170MedicaidAL

National Provider Directory

National Provider Directory

Locations

979 E 3rd St
Ste C830
Chattanooga, TN 37403
Phone (423) 778-7200

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1619997533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 MCCALLIE AVE",
            "address_2": "STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032800",
            "telephone_number": "423-693-2400",
            "fax_number": "423-693-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 MCCALLIE AVE",
            "address_2": "STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032800",
            "telephone_number": "423-693-2400",
            "fax_number": "423-693-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC AND VASCULAR ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "STRATIENKO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-693-2400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "24470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG7405",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529907170",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.