Individual provider Active NPI

Russell Foster Devore III, MD

  • Hematology & Oncology Physician
  • Knoxville, TN
National Provider Identifier
1952301459
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD0000018111 Issued in TN
Practice address
9700 Tunbridge LN
Knoxville, TN 37922-3426
Phone
(655) 989-5543
NPI assigned
Jul 26, 2005
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 35731 KY
Hematology & Oncology Physician 207RH0003X MD0000018111 TN Primary

Addresses

Primary practice location

9700 Tunbridge LN
Knoxville, TN 37922-3426

Mailing address

9700 Tunbridge LN
Knoxville, TN 37922-3426
Phone (865) 599-5543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35731KYMDHematology & Oncology Physician
MD0000018111TNMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Cancer Specialists PLLC Hematology & Oncology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: russell.devore@tncancer.direct.varian.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1952301459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 TUNBRIDGE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223426",
            "telephone_number": "865-599-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 TUNBRIDGE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223426",
            "telephone_number": "655-989-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVORE",
        "first_name": "RUSSELL",
        "middle_name": "FOSTER",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KY",
            "license": "35731",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "MD0000018111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.