Organization Active NPI

Crossville Medical Oncology PC

  • Specialist
  • Crossville, TN
National Provider Identifier
1083784839
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CROSSVILLE MEDICAL ONCOLOGY PC
Practice address
49 Cleveland St
Suite 340
Crossville, TN 38555-9716
Phone
(931) 707-8808
Fax
(931) 707-2736
NPI assigned
Nov 9, 2006
Last updated
Jun 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
David C Tabor, MD
Title
President
Phone
(931) 707-8808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

49 Cleveland St
Suite 340
Crossville, TN 38555-9716

Mailing address

49 Cleveland St
Suite 340
Crossville, TN 38555-9716
Phone (931) 707-8808

National Provider Directory

National Provider Directory

Locations

49 Cleveland St
Ste 340
Crossville, TN 38555
Phone (931) 459-7911

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1083784839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CLEVELAND ST",
            "address_2": "SUITE 340",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385559716",
            "telephone_number": "931-707-8808",
            "fax_number": "931-707-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CLEVELAND ST",
            "address_2": "SUITE 340",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385559716",
            "telephone_number": "931-707-8808",
            "fax_number": "931-707-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSVILLE MEDICAL ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "TABOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-707-8808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.