Blount Radiation Oncology Associates, PLLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

BLOUNT RADIATION ONCOLOGY ASSOCIATES, PLLC

Practice address

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015

Phone

(865) 977-5534

Fax

(865) 981-2154

NPI assigned

Mar 17, 2020

Organization subpart

No

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

Authorized official

Name

Maikel Botros, M.D.NPI 1164712394

Title

Owner

Phone

(423) 838-0077

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 2

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

• Maikel Elia Botros, MD

  • Radiation Oncology Physician
  • Maryville, TN
  • NPI 1164712394
  Medicare reassignment Care Compare group NPD Authorized official
• Nevine Hanna, MD

  • Radiation Oncology Physician
  • Knoxville, TN
  • NPI 1205170982
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1992331433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4156",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378024156",
            "telephone_number": "865-273-1752",
            "fax_number": "865-273-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045015",
            "telephone_number": "865-977-5534",
            "fax_number": "865-981-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOUNT RADIATION ONCOLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "BOTROS",
        "authorized_official_first_name": "MAIKEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-838-0077",
        "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": []
}

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• Blount Pathologist PLLC
• Blue Ridge Family Dentistry DPC
• Bluebird Speech Therapy, LLC
• Bluegrass Voice Care LLC
• Lauren Michelle Boardman
• Kyle Boden, MD

• Radiation Oncology Physician in Maryville, TN
• Providers in Maryville, 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 May 27, 2020; 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.

Verify at the official NPI Registry.