NPIMap

Organization Active NPI

Vanderbilt Maury Radiation Oncology, LLC

  • Radiation Oncology Clinic/Center
  • Spring Hill, TN
National Provider Identifier
1104166313
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
Legal business name
VANDERBILT MAURY RADIATION ONCOLOGY, LLC
Practice address
1003 Reserve Blvd
Suite 120
Spring Hill, TN 37174
Phone
(931) 380-1194
Fax
(931) 486-1373
NPI assigned
Feb 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Ms. Karen Munyon, MBA, BSRT(T)(CT)
Title
Director
Phone
(615) 875-4455

Specialties & licenses 1

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

Addresses

Primary practice location

1003 Reserve Blvd
Suite 120
Spring Hill, TN 37174

Mailing address

1003 Reserve Blvd
Suite 120
Spring Hill, TN 37174
Phone (931) 380-1194

Other names 1

  • Vanderbilt-Ingram Cancer Center at Maury Regional Spring Hill Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130731000410 TN Part B Supplier - Clinic/Group Practice 2961643168 Receives reassigned benefits from 18 practitioners
Practice locations: Spring Hill, TN

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1003 Reserve Blvd
Ste 120
Spring Hill, TN 37174
Phone (931) 380-1194

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1104166313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 RESERVE BLVD",
            "address_2": "SUITE 120",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "37174",
            "telephone_number": "931-380-1194",
            "fax_number": "931-486-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 RESERVE BLVD",
            "address_2": "SUITE 120",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "37174",
            "telephone_number": "931-380-1194",
            "fax_number": "931-486-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERBILT MAURY RADIATION ONCOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "MUNYON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-875-4455",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA, BSRT(T)(CT)"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanderbilt-Ingram Cancer Center at Maury Regional Spring Hill",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vanderbilt-Ingram Cancer Center at Maury Regional Spring Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Hill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.