Active NPI
Cumberland Radiation Associates LLC
Doing business as Community Cancer Care
- Radiation Oncology Physician
- Tullahoma, TN
National Provider Identifier
1619039062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD25802
- Legal business name
- CUMBERLAND RADIATION ASSOCIATES LLC
- Doing business as
- Community Cancer Care
- Practice address
- 2114 N Jackson St
Tullahoma, TN 37388-2208 - Phone
- (931) 454-9002
- Fax
- (931) 454-9690
- NPI assigned
- Dec 14, 2006
- Last updated
- Jan 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Craig M Weeks
- Title
- Vice President Finance
- Phone
- (256) 383-3325
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD25802 | TN | Primary |
Addresses
Primary practice location
2114 N Jackson St
Tullahoma, TN 37388-2208
Mailing address
Dept 0765
PO Box 11407
Birmingham, AL 35246-0765
Phone (256) 383-3325
Other names 1
- Community Cancer Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Radiation Oncology Physician
- Tullahoma, TN
- NPI 1396748877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294876800000",
"number": "1619039062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 0765",
"address_2": "PO BOX 11407",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352460765",
"telephone_number": "256-383-3325",
"fax_number": "256-383-5911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2114 N JACKSON ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373882208",
"telephone_number": "931-454-9002",
"fax_number": "931-454-9690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND RADIATION ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2011-01-13",
"status": "A",
"authorized_official_last_name": "WEEKS",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
"authorized_official_telephone_number": "256-383-3325",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TN",
"license": "MD25802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Cancer Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.