NPIMap

Organization Active NPI

Tennessee Cancer Specialists PLLC

  • Hematology & Oncology Physician
  • Sweetwater, TN
National Provider Identifier
1154829265
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
TENNESSEE CANCER SPECIALISTS PLLC
Practice address
304 Wright St
Sweetwater, TN 37874-1181
Phone
(865) 934-5800
Fax
(865) 934-5801
NPI assigned
Jan 24, 2018
Organization subpart
Yes
Parent organization
TENNESSEE CANCER SPECIIALISTS PLLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Mitchell D Martin, M.D.
Title
Chief Manager/Physician
Phone
(865) 637-9330

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Tennessee Cancer Spec (66 organizations share this tax ID)
Part of
Tennessee Cancer Spec

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary

Addresses

NPPES NPI Registry

Primary practice location

304 Wright St
Sweetwater, TN 37874-1181

Mailing address

900 E Hill Ave Ste 230
Knoxville, TN 37915-2565
Phone (865) 862-0998

Other practice location 1

304 Wright St
Sweetwater, TN 37874-1181
Phone (865) 934-5800 ext. 2085

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3725737MedicaidTN

Other names 1

NPPES NPI Registry
  • Tennessee Cancer Specialists PLLC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1154829265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E HILL AVE STE 230",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379152565",
            "telephone_number": "865-862-0998",
            "fax_number": "865-544-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 WRIGHT ST",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378741181",
            "telephone_number": "865-934-5800",
            "fax_number": "865-934-5801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Wright St",
            "address_purpose": "LOCATION",
            "city": "Sweetwater",
            "state": "TN",
            "postal_code": "378741181",
            "country_code": "US",
            "telephone_number": "865-934-5800 x2085",
            "fax_number": "865-934-5801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TENNESSEE CANCER SPECIALISTS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TENNESSEE CANCER SPECIIALISTS PLLC",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF MANAGER/PHYSICIAN",
        "authorized_official_telephone_number": "865-637-9330",
        "authorized_official_credential": "M.D."
    },
    "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": "3725737",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennessee Cancer Specialists PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sweetwater, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.