| Valley Vascular Access Center, Llc | |
|
4700 Whitesburg Dr Sw Ste 300 Huntsville AL 35802-1685 | |
| (804) 655-6150 | |
| Not Available |
| Full Name | Valley Vascular Access Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4700 Whitesburg Dr Sw Ste 300, Huntsville, Alabama |
| Authorized Official Name and Position | Domenick Ronga (ADMINISTRATOR) |
| Authorized Official Contact | 8046556150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Vascular Access Center, Llc 8730 Stony Point Pkwy Ste 175 Richmond VA 23235-1952 Ph: () - | Valley Vascular Access Center, Llc 4700 Whitesburg Dr Sw Ste 300 Huntsville AL 35802-1685 Ph: (804) 655-6150 |
| NPI Number | 1659905610 |
|---|---|
| Provider Enumeration Date | 02/28/2020 |
| Last Update Date | 05/19/2022 |
| Medicare PECOS PAC ID | 4789015991 |
|---|---|
| Medicare Enrollment ID | O20200502000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659905610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Mell B Welborn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1093763310 PECOS PAC ID: 7618943655 Enrollment ID: I20040909001146 |
| Provider Name | Fred S Stucky |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992751754 PECOS PAC ID: 1658339916 Enrollment ID: I20050103000819 |
| Provider Name | Andrew Knott |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1861415986 PECOS PAC ID: 8729083712 Enrollment ID: I20080716000438 |
| Provider Name | Marco Cioppi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1437117603 PECOS PAC ID: 1254455488 Enrollment ID: I20100929001239 |
| Provider Name | Benjamin David Shepherd |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1346680782 PECOS PAC ID: 6507182961 Enrollment ID: I20200710002685 |
| Provider Name | Karen Rudolph |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578838629 PECOS PAC ID: 9032407713 Enrollment ID: I20220127002730 |
Bptcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 Longwood Dr, Sw, Huntsville, AL 35801 Phone: 256-534-5946 Fax: 256-534-3041 | |
Inspirational Counseling Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 Market St Ste 100, Huntsville, AL 35808 Phone: 256-210-4925 | |
Gleneagles Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1102 Gleneagles Dr Sw, Huntsville, AL 35801 Phone: 256-881-5880 Fax: 256-883-3280 | |
Magnolia Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4245 Balmoral Dr Sw Ste 102, Huntsville, AL 35801 Phone: 256-203-6676 Fax: 833-979-0980 | |
Five Points Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Pratt Ave Ne, Huntsville, AL 35801 Phone: 256-714-3363 | |
Davis Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7850 Memorial Pkwy Sw, Huntsville, AL 35802 Phone: 256-882-0132 Fax: 256-882-1461 | |
Crestani Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2745 Bob Wallace Ave Sw, Suite D, Huntsville, AL 35805 Phone: 256-534-1323 Fax: 256-534-1780 |