Baptist Cancer Center Physicians Foundation, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BAPTIST CANCER CENTER PHYSICIANS FOUNDATION, INC.

Doing business as

Baptist Cancer Center Physicians Foundation, Inc.

Practice address

6029 Walnut Grove Rd Ste 301
Memphis, TN 38120-2112

Phone

(901) 747-9087

Fax

(901) 747-9087

NPI assigned

Aug 9, 2011

Last updated

Mar 2, 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

Gregory M Duckett

Title

Senior VP/Corp. Sec

Phone

(901) 227-5233

Specialties & licenses 1

Addresses

Other names 1

• Baptist Cancer Center Physicians Foundation, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1558640458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845800",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 WALNUT GROVE RD STE 301",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202112",
            "telephone_number": "901-747-9087",
            "fax_number": "901-747-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST CANCER CENTER PHYSICIANS FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR VP/CORP. SEC",
        "authorized_official_telephone_number": "901-227-5233"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Cancer Center Physicians Foundation, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tovia Banks, DDS
• Lea Mary Bannister, MD
• Thomas G Bannister, MD
• Ferdinand Bantilan
• Qiping Bao
• Baptist Memorial Health Services Inc (Concern EAP)
• Baptist Memorial Health Services Inc (Baptist Home Medical Equipment)
• Baptist Memorial Home Care Inc (Baptist Trinity HomeCare & Hospice)
• Baptist Memorial Home Care Inc
• Baptist Memorial Home Care Inc (Baptist Trinity HomeCare and Hospice)

• Specialist in Memphis, TN
• Providers in Memphis, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.