NPIMap

Organization Active NPI

Upper Cumberland Surgical Associate

  • Surgery Physician
  • Cookeville, TN
National Provider Identifier
1821086505
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD 7769 Issued in TN
Legal business name
UPPER CUMBERLAND SURGICAL ASSOCIATE
Practice address
340 N Cedar Ave
Cookeville, TN 38501-2421
Phone
(931) 528-6496
Fax
(931) 526-1878
NPI assigned
Oct 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Dr. Vaughn N. Barnard Jr., M.D.
Title
Corporate Secretary
Phone
(931) 528-6496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD 7769 TN Primary

Addresses

Primary practice location

340 N Cedar Ave
Cookeville, TN 38501-2421

Mailing address

340 N Cedar Ave
Cookeville, TN 38501-2421
Phone (931) 528-6496

Other names 1

  • VAUGHN N. BARNARD, GEORGE IVEY, III, DALE DOUGLAS, KENNA WILLIAMS Doing business as

National Provider Directory

National Provider Directory

Locations

340 N Cedar Ave
Cookeville, TN 38501
Phone (931) 528-6496

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1821086505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N CEDAR AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012421",
            "telephone_number": "931-528-6496",
            "fax_number": "931-526-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N CEDAR AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012421",
            "telephone_number": "931-528-6496",
            "fax_number": "931-526-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER CUMBERLAND SURGICAL ASSOCIATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "BARNARD",
        "authorized_official_first_name": "VAUGHN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "931-528-6496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD 7769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VAUGHN N. BARNARD, GEORGE IVEY, III, DALE DOUGLAS, KENNA WILLIAMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.