FAMILY CANCER CENTER, PLLC (NPI# 1013211416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013211416 |
| Entity Type | Organization |
| Organization Name | FAMILY CANCER CENTER, PLLC |
| Practice Address |
6005 Park Ave 1000-b Memphis TN 38119-5202 |
| Practice Telephone | 9016855655 |
| Mailing Telephone | 9016855655 |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2014-10-22 |
| Authorized Official Name | DENISE COLLINS (CREDENTIALING) |
| Authorized Official Telephone | 9016855655 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
19711 | MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215943675 | Family Cancer Center, Pllc | Internal Medicine | 6029 Walnut Grove, Suite 301, Memphis, TN 38120-2112 | 2006-07-31 |
| 1518972462 | Family Cancer Center, Pllc | Specialist | 1350 Sunset Dr, Suite B, Grenada, MS 38901-4079 | 2006-07-29 |
| 1790790715 | Family Cancer Center, Pllc | Specialist | 440 Wilkinson Dr, Dyersburg, TN 38024-2085 | 2006-07-29 |
| 1528072030 | Family Cancer Center, Pllc | Specialist | 271 W Polk Ave, West Memphis, AR 72301-4228 | 2006-07-28 |
| 1912911611 | Family Cancer Center, Pllc | Internal Medicine | 2996 Kate Bond, Suite 207, Bartlett, TN 38133-4062 | 2006-07-28 |
| 1275551012 | Family Cancer Center, Pllc | Internal Medicine | 1936 W. Poplar Ave, Collierville, TN 38017-0605 | 2006-07-18 |
| 1407862899 | Family Cancer Center, Pllc | Internal Medicine | 391 Southcrest Cir, Suite 101, Southaven, MS 38671-4848 | 2006-07-31 |
| 1316951627 | Family Cancer Center, Pllc | Internal Medicine | 504 Azalea Dr, Suite A, Oxford, MS 38655-5397 | 2006-07-29 |
| 1437163383 | Family Cancer Center, Pllc | Specialist | 6005 Park Ave, Suite 1000-b, Memphis, TN 38119-5225 | 2006-07-28 |
| Street Address |
6005 PARK AVE 1000-B |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091612 | Eugene J. Spiotta Jr. | Internal Medicine | 6005 Park Ave, Ste 200, Memphis, TN 38119-5212 | 2005-05-24 |
| 1013525187 | Kershaw Primary Care and Weight Loss | Nurse Practitioner | 6005 Park Ave, Memphis, TN 38119-5202 | 2020-07-15 |
| 1023552387 | Mary Hamm | Social Worker | 6005 Park Ave, Memphis, TN 38119-5202 | 2016-12-06 |
| 1427501147 | Michelle Colette Gammill | Physician Assistant | 6005 Park Ave, Suite 500b, Memphis, TN 38119-5202 | 2016-07-28 |
| 1659732063 | Jennifer Wineland Rich | Nurse Practitioner | 6005 Park Ave, Memphis, TN 38119-5202 | 2016-03-11 |
| 1033581764 | Sue Stovall | Registered Nurse | 6005 Park Ave, Suite 630b, Memphis, TN 38119-5202 | 2015-10-21 |
| 1497121990 | Vogelfanger and Struble Clinic, Pllc | Nurse Practitioner | 6005 Park Ave, Unit 630b, Memphis, TN 38119-5202 | 2015-08-19 |
| 1801297551 | Robert W Greene Jr Md PC | Physical Medicine & Rehabilitation | 6005 Park Ave, Suite 112, Memphis, TN 38119-5202 | 2014-09-12 |
| 1780085787 | Isaac John M.d., P.c | Pediatrics | 6005 Park Ave, Memphis, TN 38119-5202 | 2014-09-09 |
| 1093131401 | Mid South Pain and Anesthesia Clinic | Durable Medical Equipment & Medical Supplies | 6005 Park Ave, Suite 502, Memphis, TN 38119-5202 | 2014-03-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558436337 | David Neil Hayes | Internal Medicine | 1211 Union Ave Ste 300, Memphis, TN 38104-6655 | 2006-11-21 |
| 1396852273 | Sandeep Kumar Rajan | Internal Medicine | 6401 Poplar Ave Ste 195, Memphis, TN 38119 | 2006-08-24 |
| 1215943675 | Family Cancer Center, Pllc | Internal Medicine | 6029 Walnut Grove, Suite 301, Memphis, TN 38120-2112 | 2006-07-31 |
| 1326070277 | Jarvis D Reed | Internal Medicine | 1588 Union Ave, Memphis, TN 38104-3729 | 2006-07-07 |
| 1306886825 | Kenneth I Ataga | Internal Medicine | 1325 Eastmoreland Ave Ste 101, Memphis, TN 38104 | 2006-06-07 |
| 1265424659 | Donna Przepiorka | Internal Medicine | 1331 Union Ave, Suite 800, Memphis, TN 38104-3513 | 2005-08-22 |
| 1851399638 | David Wayne Sullivan | Internal Medicine | 6029 Walnut Grove Rd Ste 301, Memphis, TN 38120-2112 | 2005-07-14 |
| 1659375392 | Stephen A Besh | Internal Medicine | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2005-06-10 |
| 1003819269 | Aleksandar Jankov | Internal Medicine | 6029 Walnut Grove Rd, Suite 301, Memphis, TN 38120-2112 | 2005-05-23 |
| 1144223298 | Kirby L Smith | Internal Medicine | 80 Humphreys Center Dr Ste 330, Memphis, TN 38120-2363 | 2005-05-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.