Organization Active NPI

Tennessee Oncology, PLLC

  • Hematology & Oncology Physician
  • Chattanooga, TN
National Provider Identifier
1689910986
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
TENNESSEE ONCOLOGY, PLLC
Practice address
2200 E 3Rd St
Suite 100
Chattanooga, TN 37404-2744
Phone
(423) 648-2388
Fax
(423) 648-2390
NPI assigned
Dec 14, 2012
Last updated
Jul 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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

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

Addresses

Primary practice location

2200 E 3Rd St
Suite 100
Chattanooga, TN 37404-2744

Mailing address

PO Box 440100
Nashville, TN 37244-0100
Phone (615) 329-0570

Other identifiers 1

IdentifierTypeStateIssuer
Q028917MedicaidTN

National Provider Directory

National Provider Directory

Locations

2200 E 3rd St
Ste 100
Chattanooga, TN 37404
Phone (423) 648-2388

NPI Registry JSON

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499299200000",
    "number": "1689910986",
    "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": "2200 E 3RD ST",
            "address_2": "SUITE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042744",
            "telephone_number": "423-648-2388",
            "fax_number": "423-648-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE ONCOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-14",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q028917",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • 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.