VANDERBILT MAURY RADIATION ONCOLOGY, LLC (NPI# 1104166313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104166313 |
| Entity Type | Organization |
| Organization Name | VANDERBILT MAURY RADIATION ONCOLOGY, LLC |
| Other Organization Name | VANDERBILT-INGRAM CANCER CENTER AT MAURY REGIONAL SPRING HILL |
| Practice Address |
1003 Reserve Blvd Suite 120 Spring Hill TN 37174 |
| Practice Telephone | 9313801194 |
| Practice Fax Number | 9314861373 |
| Mailing Telephone | 9313801194 |
| Mailing Fax Number | 9314861373 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2019-11-15 |
| Authorized Official Name | MS. KAREN MUNYON (DIRECTOR) |
| Authorized Official Telephone | 6158754455 |
| Authorized Official Credential | MBA, BSRT(T)(CT) |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Vanderbilt-Ingram Cancer Center at Maury Regional Spring Hill | Doing Business As Name - Organization |
| Street Address |
1003 RESERVE BLVD SUITE 120 |
| City | SPRING HILL |
| State | TN |
| Zip Code | 37174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770546335 | Kasey A Huff-ignatin | Pediatrics | 1003 Reserve Blvd, Spring Hill, TN 37174-3084 | 2006-04-06 |
| 1619415239 | Advanced Diagnostic Imaging, PC | Durable Medical Equipment & Medical Supplies | 1003 Reserve Blvd, Suite 340, Spring Hill, TN 37174-3084 | 2017-02-02 |
| 1629499884 | Maury Regional Ambulatory Surgery Center, LLC | Anesthesiology | 1003 Reserve Blvd, Spring Hill, TN 37174-3084 | 2013-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132102 | Results-ast Jv, LLC | Physical Therapist | 5073 Main Street, Suite 120, Spring Hill, TN 37174 | 2020-10-21 |
| 1275195356 | Nicholas Arthur Kaiser | Dentist | 1060 Crossings Circle, Spring Hill, TN 37174 | 2019-06-28 |
| 1104487073 | Homa Mirzai | Dentist | 4816 Main St Ste A, Spring Hill, TN 37174 | 2019-06-21 |
| 1336610757 | Fresenius Medical Care Columbia Franklin, LLC | Clinic/Center | 8048 Station Hill Drive, Spring Hill, TN 37174 | 2018-12-11 |
| 1902385792 | Spring Hill Modern Dentistry, PC | Dentist | 4883 Main St., Spring Hill, TN 37174 | 2018-08-13 |
| 1427534130 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 4816 Main St, Ste A, Spring Hill, TN 37174 | 2018-07-16 |
| 1093202301 | Yoruba Sheree Duffie | Speech-Language Pathologist | 1001 Mccutcheon Creek Lane, Spring Hill, TN 37174 | 2018-04-23 |
| 1508362534 | Daily Dental Dds PC | Dentist | 2090 Wall St, Spring Hill, TN 37174 | 2018-03-30 |
| 1750800900 | Daily Dental Spring Hill, A Series of Daily Dental LLC | Dentist | 2090 Wall Street, Spring Hill, TN 37174 | 2017-09-19 |
| 1649798299 | Megan Warren | Registered Nurse | 7004 Nickalus Way, Spring Hill, TN 37174 | 2017-09-05 |
| Find all providers in zip 37174 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538682877 | Mtpc LLC | Clinic/Center | 4588 Carothers Parkway, Franklin, TN 37067 | 2017-07-19 |
| 1063774453 | Provision Medical Group Pllc | Clinic/Center | 1450 Dowell Springs Blvd Ste 250, Knoxville, TN 37909-2444 | 2012-06-12 |
| 1316178577 | Athens Regional Cancer Center Pllc | Clinic/Center | 680 S White St, Athens, TN 37303-4609 | 2009-08-05 |
| 1275650434 | Cancer Care Center of Henry County, LLC | Clinic/Center | 1290 Kelley Dr, Paris, TN 38242-4745 | 2007-03-23 |
| 1730206970 | Dyersburg Radiation Oncology Center, L.L.C. | Clinic/Center | 440 Wilkinson Dr., Dyersburg, TN 38024-0000 | 2007-03-23 |
| 1275966889 | Proton Therapy Center, LLC | Clinic/Center | 6450 Provision Cares Way, Knoxville, TN 37909-2544 | 2013-08-19 |
| 1952652414 | Tristar Radiation Oncology, LLC | Clinic/Center | 2410 Patterson St, Nashville, TN 37203-1551 | 2012-09-25 |
| 1649379553 | Radiation Therapy Associates PC | Clinic/Center | 2620 Peerless Rd Nw, Cleveland, TN 37312-3732 | 2006-09-21 |
| 1639113061 | Thompson Cancer Survival Center | Clinic/Center | 1915 White Ave, Knoxville, TN 37916-2300 | 2006-06-15 |
| City | SPRING HILL |
| Zip Code | 37174 |
Please comment or provide details below to improve the information on VANDERBILT MAURY RADIATION ONCOLOGY, LLC.
| 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.