Organization Active NPI

Memphis Cancer Center

  • Hematology & Oncology Physician
  • Germantown, TN
National Provider Identifier
1972726560
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
5187 Issued in TN
Legal business name
MEMPHIS CANCER CENTER
Practice address
8000 Wolf River Blvd
Suite 100
Germantown, TN 38138-1727
Phone
(901) 763-0446
Fax
(901) 763-0042
NPI assigned
Apr 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Natalya Kushnir
Title
Assistant Director
Phone
(901) 763-0446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 5187 TN Primary

Addresses

Primary practice location

8000 Wolf River Blvd
Suite 100
Germantown, TN 38138-1727

Mailing address

8000 Wolf River Blvd
Suite 100
Germantown, TN 38138-1727
Phone (901) 763-0446

Other identifiers 2

IdentifierTypeStateIssuer
5B207OtherARBC OF AR
124838OtherTNBCBS OF TN

National Provider Directory

National Provider Directory

Locations

1068 Cresthaven Rd
Ste 500
Memphis, TN 38119
Phone (901) 476-2727

8000 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 579-7395

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972726560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 WOLF RIVER BLVD",
            "address_2": "SUITE 100",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381727",
            "telephone_number": "901-763-0446",
            "fax_number": "901-763-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 WOLF RIVER BLVD",
            "address_2": "SUITE 100",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381727",
            "telephone_number": "901-763-0446",
            "fax_number": "901-763-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUSHNIR",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "901-763-0446",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "5187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF AR",
            "identifier": "5B207",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "124838",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.