Active NPI
Boston Baskin Cancer Foundation, Inc
- Hematology & Oncology Physician
- Memphis, TN
National Provider Identifier
1144504457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 31689
- Legal business name
- BOSTON BASKIN CANCER FOUNDATION, INC
- Practice address
- 80 Humphreys Center Dr Ste 330
Memphis, TN 38120-2363 - Phone
- (901) 752-6131
- Fax
- (901) 752-6167
- NPI assigned
- Oct 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas W Ratliff, MD
- Title
- President
- Phone
- (901) 767-4520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 31689 | TN | Primary |
Addresses
Primary practice location
80 Humphreys Center Dr Ste 330
Memphis, TN 38120-2363
Mailing address
PO Box 405827
Atlanta, GA 30384-9446
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1526936 | Medicaid | TN | |
| DS2782 | Other | MS | RR MEDICARE MS |
| DS5687 | Other | AR | MEDICARE RR AR |
| 2871745 | Medicaid | MS | |
| DS2781 | Other | TN | RR MEDICARE TN |
National Provider Directory
National Provider DirectoryLocations
80 Humphreys Center Dr
Ste 340
Memphis, TN 38120
Phone (901) 226-3338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456963200000",
"number": "1144504457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 405827",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303849446",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 HUMPHREYS CENTER DR STE 330",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202363",
"telephone_number": "901-752-6131",
"fax_number": "901-752-6167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOSTON BASKIN CANCER FOUNDATION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-05",
"last_updated": "2016-03-03",
"status": "A",
"authorized_official_last_name": "RATLIFF",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "901-767-4520",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TN",
"license": "31689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1526936",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE MS",
"identifier": "DS2782",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR AR",
"identifier": "DS5687",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2871745",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE TN",
"identifier": "DS2781",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.