Tennessee Oncology PLLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

TENNESSEE ONCOLOGY PLLC

Practice address

120 Frank Martin Rd
Ste 102
Shelbyville, TN 37160-2389

Phone

(931) 680-0602

NPI assigned

May 15, 2006

Organization subpart

No

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

Authorized official

Name

Pattie Douglas

Title

Payer Relations Manager

Phone

(615) 514-3042

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499299200000",
    "number": "1073564761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440100",
            "telephone_number": "615-329-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FRANK MARTIN RD",
            "address_2": "STE 102",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602389",
            "telephone_number": "931-680-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE ONCOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2017-07-06",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "PATTIE",
        "authorized_official_title_or_position": "PAYER RELATIONS MANAGER",
        "authorized_official_telephone_number": "615-514-3042"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3709319",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q028614",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Tennant, P.A.
• Tennessee CVS Pharmacy, L.L.C.
• Tennessee Em-I Medical Services PC
• Tennessee Homecare Alliance LLC
• Tennessee Oncology Pharmacy Dispensing
• Tennessee Pain Management and Rehabilitation PC
• Terra Nova Health
• Raymond R Tesauro, ED.D.
• The Waters of Shelbyville LLC
• Thomas J. Nedumthottathil, MD

• Hematology & Oncology Physician in Shelbyville, TN
• Providers in Shelbyville, TN by specialty
• Hematology & Oncology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; 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.