FAMILY CANCER CENTER, PLLC (NPI# 1275551012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275551012 |
| Entity Type | Organization |
| Organization Name | FAMILY CANCER CENTER, PLLC |
| Practice Address |
1936 W. Poplar Ave Collierville TN 38017-0605 |
| Mailing Address |
P.o. Box 5111 Memphis TN 38101-5111 |
| Practice Telephone | 9016855655 |
| Practice Fax Number | 9016852590 |
| Mailing Telephone | 9016855655 |
| Mailing Fax Number | 9016852590 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-03-09 |
| Authorized Official Name | WILLIAM K WALSH (MANAGING PHYSICIAN) |
| Authorized Official Telephone | 9016855655 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD0000015925 | TN | Allopathic & Osteopathic Physicians |
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 090015910 | 05 | |
| TN | BCBS | 4035183 | 01 |
| AR | 135396002 | 05 | |
| TN | 3723894 | 05 | |
| AR | BCBS | 5C634 | 01 |
| 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 |
| 1013211416 | Family Cancer Center, Pllc | Internal Medicine | 6005 Park Ave, 1000-b, Memphis, TN 38119-5202 | 2010-12-29 |
| 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 |
1936 W. POPLAR AVE |
| City | COLLIERVILLE |
| State | TN |
| Zip Code | 38017-0605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827338 | George Nathan Freeman IIi | Chiropractor | 2028 W. Poplar, Suite 105, Collierville, TN 38017 | 2020-10-01 |
| 1104440171 | Cecelia Hunt | Social Worker | 2555 Halle Parkwsy, Collierville, TN 38017 | 2020-06-04 |
| 1053803403 | Sarah Harris | Physical Therapist | 605 Heather Lake Cv, Collierville, TN 38017 | 2018-06-01 |
| 1023507811 | Sandra P Morris | Pharmacist | 560 West Poplar, Collierville, TN 38017 | 2018-05-07 |
| 1043751159 | Rahim Panjwani | Physical Therapist | 2028 W. Poplar Ave, Collierville, TN 38017 | 2017-03-09 |
| 1104273234 | The Branch House | Counselor | 562 Center St, Collierville, TN 38017 | 2016-05-18 |
| 1760840052 | Amodeo Chiropractic Center Inc | Chiropractor | 161 Hwy 72 East, Collierville, TN 38017 | 2016-02-02 |
| 1235520628 | Bonnie Morales | Nurse Practitioner | 472 W. Poplar Ave, Collierville, TN 38017 | 2015-02-06 |
| 1841616513 | First Choice Transportation | Non-emergency Medical Transport (VAN) | 336 E. Valleywood Drive, Collierville, TN 38017 | 2014-03-05 |
| 1821424276 | Shana Cole Cannon | Licensed Practical Nurse | 777 W. Poplar Ave., Suite 104, Collierville, TN 38017 | 2013-09-17 |
| Find all providers in zip 38017 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245383652 | Stephanie Yau Cline | Specialist | 569 W Poplar Ave, Collierville, TN 38017-2537 | 2007-01-19 |
| 1881619989 | Carol Ingram Lynn | Specialist | 2028 W Poplar Ave Ste 110, Collierville, TN 38017-0618 | 2006-07-12 |
| 1275507618 | Dwayne D Findley | Specialist | 126 Hwy 72, Collierville, TN 38017 | 2006-02-14 |
| 1891791349 | Robert William Schriner | Specialist | 1500 W. Poplar Ave., Suite 206, Collierville, TN 38017 | 2005-06-21 |
| 1588668057 | April Charpentier Sanchez | Specialist | 1700 Stillwind Ln, Collierville, TN 38017-3695 | 2005-06-11 |
| 1891216107 | Top Flight Medical | Specialist | 1500 W Poplar Ave Ste 304, Collierville, TN 38017-0601 | 2017-06-28 |
| 1184909384 | Integrity Oncology Foundation, Inc. | Specialist | 1936 W Poplar Ave, Collierville, TN 38017-0605 | 2011-10-19 |
| 1649595703 | Mosaic Pathology Consultants, Pllc | Specialist | 1318 Marsh Creek Ln, Collierville, TN 38017-3940 | 2010-04-01 |
| 1699009290 | Integrity Oncology, Pllc | Specialist | 1936 W Poplar Ave, Collierville, TN 38017-0605 | 2009-09-29 |
| 1750514410 | Integrity Oncology, Pllc | Specialist | 400 Market Blvd, Suite 115, Collierville, TN 38017-6516 | 2009-08-28 |
| Find all providers in COLLIERVILLE | ||||
| City | COLLIERVILLE |
| Zip Code | 38017 |
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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.