Tennessee Oncology PLLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

TENNESSEE ONCOLOGY PLLC

Practice address

103 Physicians Way Ste 120
Lebanon, TN 37090-4134

Phone

(615) 453-5623

NPI assigned

May 18, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1841243425",
    "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": "103 PHYSICIANS WAY STE 120",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370904134",
            "telephone_number": "615-453-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE ONCOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "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": "615-514-6876"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q028616",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tennessee Em-I Medical Services PC
• Tennessee Maternal Fetal Medicine PLC
• Tennessee Oncology Pharmacy Dispensing
• Tennessee Oncology Pharmacy Dispensing
• Tennessee Oncology PLLC
• Tennessee Orthopaedic Alliance PA
• Tennessee Orthopedics PT Clinic
• Tennessee Orthopedics, PC
• Tennessee Sports Medicine & Orthopaedics, PC (Tennessee Sports Medicine & Orthopaedics)
• Tennessee Valley Home Care, LLC (Tennessee Quality Care - Home Health East)

• Hematology & Oncology Physician in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Hematology & Oncology Physician in Tennessee

• 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.