NPIMap

Tennessee Cancer Specialists, PLLC

Organization Active NPI Hematology & Oncology Physician · Etowah, TN

NPI 1295883379 · NPPES record last updated Apr 21, 2025

Key facts

NPI
1295883379
Entity type
Organization (NPI type 2)
Primary specialty
Hematology & Oncology Physician 207RH0003X
Legal business name
TENNESSEE CANCER SPECIALISTS, PLLC
Practice address
886 Highway 411 North
Woods Memorial Hospital
Etowah, TN 37733-1912
Phone
(865) 632-5122
Fax
(865) 632-5116
NPI assigned
Jan 8, 2007
Organization subpart
No

Authorized official

Name
Dr. Mitchell D Martin, M.D.
Title
Chief Manager Physician
Phone
(865) 637-9330

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
Tennessee Cancer Spec (66 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207RH0003X Yes

Addresses

Primary practice location

886 Highway 411 North
Woods Memorial Hospital
Etowah, TN 37733-1912

Mailing address

6016 Brookvale LN Ste 200
Knoxville, TN 37919-4092
Phone (865) 862-0998

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 21, 2025.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1295883379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6016 BROOKVALE LN STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194092",
            "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": "886 HIGHWAY 411 NORTH",
            "address_2": "WOODS MEMORIAL HOSPITAL",
            "city": "ETOWAH",
            "state": "TN",
            "postal_code": "377331912",
            "telephone_number": "865-632-5122",
            "fax_number": "865-632-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE CANCER SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Etowah, TN

All providers in Etowah, TN · Hematology & Oncology Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.