CLINCH VALLEY VASCULAR SURGICAL ASSOC., PLLC – NPI #1578817938
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

CLINCH VALLEY VASCULAR SURGICAL ASSOC., PLLC is a surgeon located in RICHLANDS, VA. NPPES has assigned the NPI number 1578817938 to CLINCH VALLEY VASCULAR SURGICAL ASSOC., PLLC on November 06, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 14 years ago on Nov 19, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLINCH VALLEY VASCULAR SURGICAL ASSOC., PLLC below.

NPI Profile for
CLINCH VALLEY VASCULAR SURGICAL ASSOC., PLLC

NPI Number
1578817938
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLINCH VALLEY VASCULAR SURGICAL ASSOC., PLLC
Primary location
6719 GOV. G.C. PEERY HIGHWAY
SUITE 2600
RICHLANDS, VA 24641
Phone: (276) 963-0333 Fax: (276) 963-0222
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID CASSADA
OWNER
Phone: (276) 963-0333
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.