Athens Regional Cancer Center PLLC

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

License

204 Issued in TN

Legal business name

ATHENS REGIONAL CANCER CENTER PLLC

Practice address

680 S White St
Athens, TN 37303-4609

Phone

(423) 252-1580

Fax

(423) 472-0060

NPI assigned

Aug 5, 2009

Last updated

Jun 22, 2016By 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

Dr. Lisa J Virostek, M.D.NPI 1174547277

Title

President

Phone

(423) 472-2171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316178577. Details of each certification follow.

• CCN 44C0001172 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 44C0001172

Legal name

ATHENS REGIONAL CANCER CENTER PLLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Feb 4, 2010

Last certification

Jul 10, 2019

Ownership / control type

Proprietary

Facility address

680 South White Street
Athens, TN 37303

Locations

Practitioners 2

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.

• Lisa June Virostek, MD

  • Radiation Oncology Physician
  • Cleveland, TN
  • NPI 1174547277
  Medicare reassignment NPD Authorized official
• William Kenneth Strike, MD

  • Therapeutic Radiology Physician
  • Oak Ridge, TN
  • NPI 1295892263
  Medicare reassignment NPD

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1316178577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S WHITE ST",
            "address_2": "P.O. BOX 1814",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373034609",
            "telephone_number": "423-252-1580",
            "fax_number": "423-472-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 S WHITE ST",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373034609",
            "telephone_number": "423-252-1580",
            "fax_number": "423-472-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS REGIONAL CANCER CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "VIROSTEK",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-472-2171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "TN",
            "license": "204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athens Physicians Practice LLC (Starr Convenient Care)
• Athens Physicians Practice LLC (Athens Family Practice)
• Athens Physicians Practice LLC (Athens Family Practice)
• Athens Physicians Practice, LLC (Athens Family Practice)
• Athens Physicians Practice, LLC (Starr Orthopedics & Sports Medicine)
• Athens Regional Medical Center LLC (Starr Regional Medical Center)
• Athens Regional Medical Center LLC (Starr Regional Medical Center)
• Athens Regional Medical Center LLC (Athens Regional Medical Center)
• Athens Surgery Center LLC (The Surgery Center of Athens)
• Athens Walk in Clinic

• Radiation Oncology Clinic/Center in Athens, TN
• Providers in Athens, 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 Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.