NPIMap

Individual provider Active NPI

Mitchell Dane Martin, MD

  • Hematology & Oncology Physician
  • Powell, TN
National Provider Identifier
1639179708
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD0000033814 Issued in TN
Practice address
7650 Dannaher Dr
Powell, TN 37849-4065
Phone
(865) 637-9330
Fax
(865) 512-6748
NPI assigned
Jul 29, 2005
Last updated
Apr 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD0000033814 TN Primary

Addresses

Primary practice location

7650 Dannaher Dr
Powell, TN 37849-4065

Mailing address

900 E Hill Ave Ste 230
Knoxville, TN 37915-2565
Phone (865) 862-0998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713000559 TN Practitioner - Medical Oncology 8527045061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
University of South Florida College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7650 Dannaher Dr
Suite 100
Powell, TN 37849-4052
Phone (865) 637-9330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000033814TNMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Cancer Specialists PLLC Hematology & Oncology Current Accepting new patients
Tennessee Cancer Specialists Hematology & Oncology CurrentSince Jul 1, 2004 Accepting new patients
Tennessee Cancer Specialist PLLC Hematology & Oncology CurrentSince Jul 1, 2004 Accepting new patients
Tennessee Cancer Specialists PLLC Hematology & Oncology Past Accepting new patients

Locations

1415 Old Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 934-5806

2607 Kingston Pike
Ste 100
Knoxville, TN 37919
Phone (865) 693-2255

6016 Brookvale Ln
Ste 200
Knoxville, TN 37919
Phone (865) 862-0998

900 E Hill Ave
Ste 230
Knoxville, TN 37915
Phone (865) 862-0998

9957 Sherrill Blvd
Knoxville, TN 37932
Phone (865) 639-2255

420 W Morris Blvd
Ste 410
Morristown, TN 37813
Phone (423) 587-0491

800 Oak Ridge Tpke
Ste A600
Oak Ridge, TN 37830
Phone (865) 444-3050

7551 Dannaher Dr
Powell, TN 37849
Phone (865) 637-9330

7650 Dannaher Dr
Ste 100
Powell, TN 37849
Phone (865) 637-9330

Interoperability endpoints

  • Direct secure messaging: mitchell.martin@tncancer.direct.varian.com

Organizations & group practices 67

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 67

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1639179708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E HILL AVE STE 230",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379152565",
            "telephone_number": "865-862-0998",
            "fax_number": "865-544-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 DANNAHER DR",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494065",
            "telephone_number": "865-637-9330",
            "fax_number": "865-512-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MITCHELL",
        "middle_name": "DANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "MD0000033814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

Verify at the official NPI Registry.