United Vascular of Huntsville, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

UNITED VASCULAR OF HUNTSVILLE, LLC

Practice address

4700 Whitesburg Dr SW Ste 300
Huntsville, AL 35802-1685

Phone

(256) 692-5100

Fax

(256) 288-3980

NPI assigned

Jun 18, 2021

Last updated

Aug 14, 2024By 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

Kristy Music

Title

Ao-Director of Physician Credential

Phone

(615) 465-7377

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Listed as

United Vascular of Huntsville LLCCCN 01C0001068

Medicare certification status

ActiveFrom the Provider of Services file

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Crestwood Healthcare LP

  dba Crestwood Medical Center

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1023061496

  Member Of

  NPD member
• Huntsville Renal Clinic, PC

  • Nephrology Physician
  • Huntsville, AL
  • NPI 1831281849

  Member Of

  NPD member

Locations

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.

• Fred Sims Stucky III, M.D.

  • Vascular Surgery Physician
  • Augusta, ME
  • NPI 1992751754
  NPD (past)

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1629647268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WHITESBURG DR SW STE 300",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021685",
            "telephone_number": "256-692-5100",
            "fax_number": "256-288-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WHITESBURG DR SW STE 300",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021685",
            "telephone_number": "256-692-5100",
            "fax_number": "256-288-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED VASCULAR OF HUNTSVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "MUSIC",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "AO-DIRECTOR OF PHYSICIAN CREDENTIAL",
        "authorized_official_telephone_number": "615-465-7377"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Namitha Uma Dwarakanath, MD
• Zoraya Unda
• United Cerebral Palsy of Huntsville and Tennessee Valley, Inc.
• United Cerebral Palsy of Huntsville and Tennessee Valley, Inc.
• United Seating and Mobility LLC (Numotion)
• United Woundcare Institute Alabama PLLC
• University of Alabama in Huntsville
• University Walkin Family Care
• Upper Alabama Homecare, LLC (Visiting Angels)
• Kajal Uprety

• Ambulatory Surgical Clinic/Center in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Ambulatory Surgical Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.