NPIMap

Organization Active NPI

East Tennessee Hematology/Oncology Assoc P.C.

  • Oncology Clinic/Center
  • Johnson City, TN
National Provider Identifier
1356446298
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
Legal business name
EAST TENNESSEE HEMATOLOGY/ONCOLOGY ASSOC P.C.
Practice address
310 N State of Franklin Rd
Ste 401
Johnson City, TN 37604-6008
Phone
(423) 926-3611
Fax
(423) 926-3073
NPI assigned
Sep 14, 2006
Last updated
May 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Authorized official

Name
William R Kincaid, M.D.
Title
President
Phone
(423) 926-3611

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X Primary
Durable Medical Equipment & Medical Supplies 332B00000X 5883370001 TN

Addresses

Primary practice location

310 N State of Franklin Rd
Ste 401
Johnson City, TN 37604-6008

Mailing address

PO Box 3770
Johnson City, TN 37602-3770
Phone (423) 926-3611

National Provider Directory

National Provider Directory

Locations

310 N State of Franklin Rd
#401
Johnson City, TN 37604
Phone (423) 926-3611

2033 Meadowview Ln
Kingsport, TN 37660
Phone (423) 230-6040

Practitioners & affiliated clinicians

Practitioners 84

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.

View all 84

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1356446298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3770",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376023770",
            "telephone_number": "423-926-3611",
            "fax_number": "423-926-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N STATE OF FRANKLIN RD",
            "address_2": "STE 401",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046008",
            "telephone_number": "423-926-3611",
            "fax_number": "423-926-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSEE HEMATOLOGY/ONCOLOGY ASSOC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-926-3611",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "5883370001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.