Huntsville Vascular Specialists, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

8969 Issued in AL

Legal business name

HUNTSVILLE VASCULAR SPECIALISTS, PC

Practice address

900 Bob Wallace Ave SW
Suite 114
Huntsville, AL 35801-5691

Phone

(256) 883-8222

Fax

(256) 883-8230

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gary M. Gross, M.D.

Title

Owner

Phone

(256) 883-8222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1972671444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18844",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358048844",
            "telephone_number": "256-883-8222",
            "fax_number": "256-883-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BOB WALLACE AVE SW",
            "address_2": "SUITE 114",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015691",
            "telephone_number": "256-883-8222",
            "fax_number": "256-883-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE VASCULAR SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-883-8222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "8969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.