Cancer Care, PLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

39642 Issued in TN

Legal business name

CANCER CARE, PLC

Doing business as

Clarksville Cancer Care

Practice address

274 Clear Sky CT
Clarksville Cancer Care
Clarksville, TN 37043-5653

Phone

(931) 802-8056

Fax

(931) 802-8059

NPI assigned

Sep 23, 2007

Last updated

Nov 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jigar Kanubhai Shah, MDNPI 1013936079

Title

President

Phone

(931) 802-8056

Specialties & licenses 1

Addresses

Other names 1

• Clarksville Cancer Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jigar Kanubhai Shah, MD

  • Hematology & Oncology Physician
  • Clarksville, TN
  • NPI 1013936079
  Medicare reassignment NPD Authorized official
• Ebone Powers, FNP-BC

  • Family Nurse Practitioner
  • Hopkinsville, KY
  • NPI 1306519848

  TN

  Medicare reassignment NPD
• Catherine Rose Tumbleson, PA-C

  • Physician Assistant
  • Nashville, TN
  • NPI 1841608775
  Medicare reassignment
• Sarah Beth Grace, FNP

  • Family Nurse Practitioner
  • Clarksville, TN
  • NPI 1770378028
  NPD (past)
• Erika L McKenna, FNP

  • Family Nurse Practitioner
  • Clarksville, TN
  • NPI 1114723657
  NPD (past)
• Erin Kylene Gardiner, MSN, ACNP-BC

  • Acute Care Nurse Practitioner
  • Wilmington, DE
  • NPI 1255675088
  NPD (past)

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

{
    "created_epoch": "1190505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1265628226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SAVANNAH TRACE DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435442",
            "telephone_number": "931-802-8056",
            "fax_number": "931-802-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 CLEAR SKY CT",
            "address_2": "CLARKSVILLE CANCER CARE",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435653",
            "telephone_number": "931-802-8056",
            "fax_number": "931-802-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-23",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JIGAR",
        "authorized_official_middle_name": "KANUBHAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-802-8056",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "39642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarksville Cancer Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Makenzie Campbell
• Melanie Campbell
• Michelle Campbell
• Sierah Campbell, NCC, LPC-MSHP
• Angela Renee Campos, LPC-MHSP
• Noah D Canfield, CPHT
• Lena Cantrell
• Capable Beginnings, LLC (Capable Beginnings)
• Cape Prosthetics-Orthotics Inc (Capstone Prosthetics & Orthotics)
• Terra Caple

• Hematology & Oncology Physician in Clarksville, TN
• Providers in Clarksville, 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 Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.