Organization Active NPI

Radiation Oncology Associates of N.E. TN

  • Radiation Oncology Physician
  • Kingsport, TN
National Provider Identifier
1740372002
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
RADIATION ONCOLOGY ASSOCIATES OF N.E. TN
Practice address
130 West Ravine Road
Radiation Oncology Dept
Kingsport, TN 37660
Phone
(423) 224-5500
Fax
(423) 224-5439
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Byron C May, M.D.
Title
Radiation Oncologist
Phone
(423) 224-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

130 West Ravine Road
Radiation Oncology Dept
Kingsport, TN 37660

Mailing address

P O Box 1183
Lebanon, TN 37088
Phone (615) 449-9680

Other identifiers 1

IdentifierTypeStateIssuer
3701427MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040224001198 TN Part B Supplier - Clinic/Group Practice 2062308315 Receives reassigned benefits from 1 practitioner
Practice locations: Kingsport, TN
O20050711000679 VA Part B Supplier - Clinic/Group Practice 2062308315 Receives reassigned benefits from 1 practitioner
Practice locations: Norton, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740372002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1183",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "37088",
            "telephone_number": "615-449-9680",
            "fax_number": "615-449-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WEST RAVINE ROAD",
            "address_2": "RADIATION ONCOLOGY DEPT",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37660",
            "telephone_number": "423-224-5500",
            "fax_number": "423-224-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIATION ONCOLOGY ASSOCIATES OF N.E. TN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "RADIATION ONCOLOGIST",
        "authorized_official_telephone_number": "423-224-5500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3701427",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.