Premier Radiation Oncology Services, PC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

PREMIER RADIATION ONCOLOGY SERVICES, PC

Practice address

900 E Oak Hill Ave
Knoxville, TN 37917-4505

Phone

(865) 545-7817

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Srinivas Boppana, M.D.

Title

President

Phone

(865) 545-3110

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edmund Lloyd Simon, M.D.

  • Radiation Oncology Physician
  • Cumming, GA
  • NPI 1730366865
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1972705770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16506",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275166506",
            "telephone_number": "866-457-5196",
            "fax_number": "919-967-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E OAK HILL AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174505",
            "telephone_number": "865-545-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER RADIATION ONCOLOGY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "BOPPANA",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-545-3110",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preferred Pain Care, LLC
• Sean Frederick Preiss, PT
• Premier Dental Group, PLLC of Knoxville
• Premier Eye Consultants, PLLC
• Premier Eyecare, PLLC
• Premier Servants LLC (Visiting Angels Living Assistance Services)
• Premier Surgical Associates, PLLC
• Premier Surgical Associates, PLLC
• Premier Wound Care of Tennessee, PC
• Premier-Covenant Astc LLC (Premier Ambulatory Surgery Center)

• Radiation Oncology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Radiation Oncology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.