CMS-1500 Box 24J / 33a • NPI
1578817938
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
2086S0129X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery
Box 32 Service Location & ZIP+4
6719 GOV. G.C. PEERY HIGHWAY, SUITE 2600, RICHLANDS, VA, 24641
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1578817938 (CLINCH VALLEY VASCULAR SURGICAL ASSOC., PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1578817938 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | CLINCH VALLEY VASCULAR SURGICAL ASSOC., PLLC |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery NUCC Code: 2086S0129X (N/A) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 6719 GOV. G.C. PEERY HIGHWAY, SUITE 2600, RICHLANDS, VA, 24641 |
| Practice Telephone / Fax | Tel: (276) 963-0333 | Fax: (276) 963-0222 |
| Administrative Mailing Address | 6719 GOV. G.C. PEERY HIGHWAY, RICHLANDS, VA, 24641 |
| Enumeration & Last Sync | Enumerated: 2012-11-06 | CMS Record Updated: 2012-11-19 |
| Authorized Official | DAVID CASSADA (Owner) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (2086S0129X)
What Does Taxonomy Code 2086S0129X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2086S0129X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CLINCH VALLEY VASCULAR SURGICAL ASSOC., PLLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2086S0129X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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