Tennessee Oncology PLLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

TENNESSEE ONCOLOGY PLLC

Practice address

1750 Cedar LN
Ste 200
Tullahoma, TN 37388-4759

Phone

(931) 393-3143

NPI assigned

Jun 2, 2006

Last updated

Jul 6, 2017By 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

Pattie Douglas

Title

Payer Relations Manager

Phone

(615) 514-6876

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499299200000",
    "number": "1548207889",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 CEDAR LN",
            "address_2": "STE 200",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884759",
            "telephone_number": "931-393-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE ONCOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "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": "615-514-6876"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q028626",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3709319",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tenn HQ, Inc. (Home Instead Senior Care)
• Tennessee CVS Pharmacy LLC (CVS Pharmacy #04466)
• Tennessee Oncology
• Tennessee Oncology Pharmacy Dispensing
• Tennessee Oncology Pharmacy Dispensing
• Tennessee Vascular and Thoracic Surgical Associates, PC
• Michael Tepedino, MD
• Teresa Patterson MD
• Jasmine M Terrell, DNP, APRN, CPNP-PC
• Tiffany A Terrill, APN

• Hematology & Oncology Physician in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• 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.