Proton Therapy Center, LLC

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

Legal business name

PROTON THERAPY CENTER, LLC

Practice address

6450 Provision Cares Way
Knoxville, TN 37909-2544

Phone

(865) 862-1600

NPI assigned

Aug 19, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Lou Dubois

Title

President

Phone

(865) 684-2606

Specialties & licenses 1

Addresses

Other names 1

• Provision Center for Proton Therapy Doing business as

Locations

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1275966889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 DOWELL SPRINGS BLVD",
            "address_2": "SUITE 350",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092456",
            "telephone_number": "865-342-4518",
            "fax_number": "865-321-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 PROVISION CARES WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092544",
            "telephone_number": "865-862-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTON THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "DUBOIS",
        "authorized_official_first_name": "MARY LOU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-684-2606",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Provision Center for Proton Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alvinia Collins Proffitt, APN
• Shawn Proffitt
• Profreight Dispatch Logistics Inc.
• Project Dental Access, Inc.
• Prompt Physical Therapy Inc.
• Laurel Proulx
• Samantha Reilly Proulx, LMSW
• Franklin J Prout, DDS
• Provision Medical Group PLLC
• Provision Physical Therapy

• Radiation Oncology Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Radiation Oncology Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.