Active NPI
Family Cancer Center, PLLC
- Hematology & Oncology Physician
- Bartlett, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD0000015925
- Legal business name
- FAMILY CANCER CENTER, PLLC
- Practice address
- 2996 Kate Bond
Suite 207
Bartlett, TN 38133-4062 - Phone
- (901) 379-0703
- Fax
- (901) 379-0532
- NPI assigned
- Jul 28, 2006
- Last updated
- Mar 9, 2011
- 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
- William K Walsh, M.D.
- Title
- Managing Physician
- Phone
- (901) 685-5655
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 19652 | TN | |
| Hematology (Internal Medicine) Physician | 207RH0000X | MD0000015925 | TN | |
| Hematology & Oncology Physician | 207RH0003X | MD0000015925 | TN | Primary |
Addresses
Primary practice location
2996 Kate Bond
Suite 207
Bartlett, TN 38133-4062
Mailing address
P.O. Box 5111
Memphis, TN 38101-5111
Phone (901) 685-5655
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 090015910 | Medicaid | MS | |
| 4035183 | Other | TN | BCBS |
| CG9522 | Other | TN | RRMCR |
| 135396002 | Medicaid | AR | |
| 3723894 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
1940 W Poplar Ave
Collierville, TN 38017
440 Wilkinson Dr
Dyersburg, TN 38024
Phone (731) 285-2211
6005 Park Ave
Ste 725
Memphis, TN 38119
Phone (901) 685-5655
1720 E Reelfoot Ave
Ste 200
Union City, TN 38261
Phone (731) 507-0272
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hematology & Oncology Physician
- Bartlett, TN
- NPI 1982602785
-
- Medical Oncology Physician
- Germantown, TN
- NPI 1336147263
Hematology & Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299628800000",
"number": "1912911611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 5111",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381015111",
"telephone_number": "901-685-5655",
"fax_number": "901-685-2590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2996 KATE BOND",
"address_2": "SUITE 207",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381334062",
"telephone_number": "901-379-0703",
"fax_number": "901-379-0532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CANCER CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2011-03-09",
"status": "A",
"authorized_official_last_name": "WALSH",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MANAGING PHYSICIAN",
"authorized_official_telephone_number": "901-685-5655",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "19652",
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "TN",
"license": "MD0000015925",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TN",
"license": "MD0000015925",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "090015910",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4035183",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCR",
"identifier": "CG9522",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135396002",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3723894",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.