Family Cancer Center PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

23524 Issued in TN

Legal business name

FAMILY CANCER CENTER PLLC

Practice address

1012 S Miles Ave
Union City, TN 38261

Phone

(731) 884-1412

Fax

(731) 884-1720

NPI assigned

Jul 29, 2006

Last updated

Jul 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William K. Walsh, M.D.

Title

Managing Physician

Phone

(901) 685-5655

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1992710800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242173",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381242173",
            "telephone_number": "901-850-0272",
            "fax_number": "901-850-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 S MILES AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "38261",
            "telephone_number": "731-884-1412",
            "fax_number": "731-884-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CANCER CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "901-685-5655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "23524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4035183",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135396002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723894",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "CG9522",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• E.W. James & Sons, Inc (E.W. James Pharmacy #70)
• Randy A Earls, APN
• Natasha Edwards
• Candace R Eubanks, LCSW
• Ew James & Sons, Inc, Dba Ew James Pharmacy #70
• Family Practice,LLC
• Fast Pace Medical Clinic PLLC
• Fast Pace Medical Clinic PLLC
• Elisha C Faulkner
• Feet First Podiatry PC (Raines Foot Clinic)

• Specialist in Union City, TN
• Providers in Union City, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.