Tennessee Oncology PLLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

TENNESSEE ONCOLOGY PLLC

Practice address

480 Northcrest Dr
Ste 400
Springfield, TN 37172-3972

Phone

(615) 384-5558

Fax

(615) 750-1722

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Pattie Douglas

Title

Payer Relations Manager

Phone

(615) 514-3042

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499299200000",
    "number": "1285692178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440100",
            "telephone_number": "615-329-0570",
            "fax_number": "615-750-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 NORTHCREST DR",
            "address_2": "STE 400",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371723972",
            "telephone_number": "615-384-5558",
            "fax_number": "615-750-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE ONCOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2017-07-06",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "PATTIE",
        "authorized_official_title_or_position": "PAYER RELATIONS MANAGER",
        "authorized_official_telephone_number": "615-514-3042"
    },
    "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": "3709319",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q028625",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tennessee CVS Pharmacy, L.L.C.
• Tennessee Dental Professionals, PC
• Tennessee Emergency Medical Association, LLP
• Tennessee Imaging Consultants
• Tennessee Oncology Pharmacy Dispensing
• Tennessee Orthopaedic Alliance PA
• Teresa Marie Williams, M.D.
• The Ridge
• The Ridge
• The Waters of Robertson LLC

• All providers in Springfield, TN
• Hematology & Oncology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; 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.