NPIMap

Organization Active NPI

Tennessee Cancer Specialists

Doing business as Mitchell D. Martin, MD

  • Non-Pharmacy Dispensing Site
  • Knoxville, TN
National Provider Identifier
1689757866
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
705448 Issued in TN
Legal business name
TENNESSEE CANCER SPECIALISTS
Doing business as
Mitchell D. Martin, MD
Practice address
9430 Parkwest Blvd
Ste 120
Knoxville, TN 37923
Phone
(865) 693-2255
Fax
(865) 691-7888
NPI assigned
Oct 23, 2006
Last updated
Jul 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Mitchell D Martin, M.D.NPI 1639179708
Title
Chief Manager
Phone
(865) 637-9330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 705448 TN Primary

Addresses

Primary practice location

9430 Parkwest Blvd
Ste 120
Knoxville, TN 37923

Mailing address

900 E Hill Ave
Ste 230
Knoxville, TN 37915-2566
Phone (865) 862-0998

Other identifiers 1

IdentifierTypeStateIssuer
4439685OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Mitchell D. Martin, MD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tennessee Cancer Spec66 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1689757866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E HILL AVE",
            "address_2": "STE 230",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379152566",
            "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": "9430 PARKWEST BLVD",
            "address_2": "STE 120",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-693-2255",
            "fax_number": "865-691-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE CANCER SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "865-637-9330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "TN",
            "license": "705448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4439685",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell D. Martin, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.