Organization Active NPI

Provision Medical Group PLLC

  • Radiation Oncology Clinic/Center
  • Knoxville, TN
National Provider Identifier
1063774453
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
Legal business name
PROVISION MEDICAL GROUP PLLC
Practice address
1450 Dowell Springs Blvd Ste 250
Knoxville, TN 37909-2444
Phone
(865) 684-2613
Fax
(865) 684-2611
NPI assigned
Jun 12, 2012
Last updated
Jun 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Allen Meek, MDNPI 1699718015
Title
Owner
Phone
(865) 684-2613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X Primary

Addresses

Primary practice location

1450 Dowell Springs Blvd Ste 250
Knoxville, TN 37909-2444

Mailing address

1450 Dowell Springs Blvd Ste 250
Knoxville, TN 37909-2444
Phone (865) 684-2613

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1063774453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 DOWELL SPRINGS BLVD STE 250",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092444",
            "telephone_number": "865-684-2613",
            "fax_number": "865-684-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 DOWELL SPRINGS BLVD STE 250",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092444",
            "telephone_number": "865-684-2613",
            "fax_number": "865-684-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISION MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "MEEK",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-684-2613",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.