Active NPI
Columbia Cancer Institue Inc
- Specialist
- Columbia, TN
National Provider Identifier
1831374743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- COLUMBIA CANCER INSTITUE INC
- Practice address
- 1224 Trotwood Ave
Columbia, TN 38401-4802 - Phone
- (931) 380-4057
- Fax
- (931) 540-4224
- NPI assigned
- Jan 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Sattasiri, MD
- Title
- Physician
- Phone
- (931) 380-4057
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1224 Trotwood Ave
Columbia, TN 38401-4802
Mailing address
PO Box 158
Hohenwald, TN 38462-0158
Phone (931) 796-7881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3731439 | Other | TN | MEDICARE GROUP ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1199836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199836800000",
"number": "1831374743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 158",
"city": "HOHENWALD",
"state": "TN",
"postal_code": "384620158",
"telephone_number": "931-796-7881",
"fax_number": "931-796-7379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 TROTWOOD AVE",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014802",
"telephone_number": "931-380-4057",
"fax_number": "931-540-4224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA CANCER INSTITUE INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-09",
"last_updated": "2008-01-09",
"status": "A",
"authorized_official_last_name": "SATTASIRI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "931-380-4057",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID",
"identifier": "3731439",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.