Active NPI
East Tennessee Radiation Oncology, P.C.
- Radiation Oncology Physician
- Knoxville, TN
National Provider Identifier
1962589150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- EAST TENNESSEE RADIATION ONCOLOGY, P.C.
- Practice address
- 1915 White Ave
Knoxville, TN 37916-2300 - Phone
- (865) 541-1155
- Fax
- (865) 988-5658
- NPI assigned
- Nov 1, 2006
- 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
- Janie L Johnson
- Title
- Authorized Agent
- Phone
- (865) 803-4321
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
1915 White Ave
Knoxville, TN 37916-2300
Mailing address
PO Box 24120
Knoxville, TN 37933-2120
Phone (865) 803-4321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3370058 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
Knoxville, TN 37995
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Knoxville, TN
- NPI 1700029626
-
- Family Nurse Practitioner
- Knoxville, TN
- NPI 1770863185
-
- Radiation Oncology Physician
- Morristown, TN
- NPI 1083673636
-
- Radiation Oncology Physician
- Crossville, TN
- NPI 1346251287
-
- Radiation Oncology Physician
- Knoxville, TN
- NPI 1205170982
-
- Radiation Oncology Physician
- Knoxville, TN
- NPI 1962475277
-
- Radiation Oncology Physician
- Sevierville, TN
- NPI 1427285329
-
- Radiation Oncology Physician
- Lebanon, TN
- NPI 1831202803
-
- Radiation Oncology Physician
- Knoxville, TN
- NPI 1538181607
-
- Radiation Oncology Physician
- Memphis, TN
- NPI 1598956641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691020800000",
"number": "1962589150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24120",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379332120",
"telephone_number": "865-803-4321",
"fax_number": "865-988-5658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 WHITE AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162300",
"telephone_number": "865-541-1155",
"fax_number": "865-988-5658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST TENNESSEE RADIATION ONCOLOGY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JANIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "AUTHORIZED AGENT",
"authorized_official_telephone_number": "865-803-4321"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3370058",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
- East Tennessee Plastic Surgery,P.C.
- East Tennessee Primary Care Associates
- East Tennessee Prosthodontics
- East Tennessee Psychological Testing
- East Tennessee Pulmonary and Critical Care Physicians
- East Tennessee Radiation Therapy
- East Tennessee Regional OB/GYN Associates PC
- East Tennessee Spine & Sport Inc
- East Tennessee Surgical Group, P.C.
- East Tennessee Urgent Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.