Organization Active NPI

Tennessee Oncology PLLC

  • Hematology & Oncology Physician
  • Nashville, TN
National Provider Identifier
1811955651
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
TENNESSEE ONCOLOGY PLLC
Practice address
3443 Dickerson Pike
Ste 760
Nashville, TN 37207-2519
Phone
(615) 860-1556
Fax
(615) 750-1722
NPI assigned
May 2, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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) 514-3042

Specialties & licenses 1

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

Addresses

Primary practice location

3443 Dickerson Pike
Ste 760
Nashville, TN 37207-2519

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
0761370013OtherMEDICARE NSC
3709319MedicaidTN
Q028632MedicaidTN

National Provider Directory

National Provider Directory

Locations

300 20th Ave N
Ste 301
Nashville, TN 37203
Phone (615) 284-2400

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811955651",
    "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",
            "fax_number": "615-750-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE",
            "address_2": "STE 760",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072519",
            "telephone_number": "615-860-1556",
            "fax_number": "615-750-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE ONCOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "PATTIE",
        "authorized_official_title_or_position": "PAYER RELATIONS MANAGER",
        "authorized_official_telephone_number": "615-514-3042"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "0761370013",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3709319",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q028632",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.