PROTON THERAPY CENTER, LLC (NPI# 1275966889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275966889 |
| Entity Type | Organization |
| Organization Name | PROTON THERAPY CENTER, LLC |
| Other Organization Name | PROVISION CENTER FOR PROTON THERAPY |
| Practice Address |
6450 Provision Cares Way Knoxville TN 37909-2544 |
| Mailing Address |
1400 Dowell Springs Blvd Suite 350 Knoxville TN 37909-2456 |
| Practice Telephone | 8658621600 |
| Mailing Telephone | 8653424518 |
| Mailing Fax Number | 8653214555 |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-11-22 |
| Authorized Official Name | MRS. MARY LOU DUBOIS (PRESIDENT) |
| Authorized Official Telephone | 8656842606 |
| 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 |
|---|---|
| Provision Center for Proton Therapy | Doing Business As Name - Organization |
| Street Address |
6450 PROVISION CARES WAY |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37909-2544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699718015 | Allen G. Meek | Radiology | 6450 Provision Cares Way, Knoxville, TN 37909-2544 | 2006-06-14 |
| 1295261220 | Brittany Le-ann Adams | Registered Nurse | 6450 Provision Cares Way, Knoxville, TN 37909-2544 | 2017-05-11 |
| 1548665946 | Amber Marie Tramontana | Nurse Practitioner | 6450 Provision Cares Way, Knoxville, TN 37909-2544 | 2014-10-28 |
| 1275843419 | Amanda A Langemo | Physician Assistant | 6450 Provision Cares Way, Knoxville, TN 37909-2544 | 2010-10-20 |
| 1932209855 | Robert S Lavey | Radiology | 6450 Provision Cares Way, Knoxville, TN 37909 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687534 | Rosalie Ting Mcglashen | Behavioral Analyst | 1508 Coleman Rd., Suites 105 and 110, Knoxville, TN 37909 | 2020-01-06 |
| 1770133597 | Renewal Healthcare | Family Medicine | 7035 Middlebrook Pike, Knoxville, TN 37909 | 2019-09-13 |
| 1417461211 | Lean Knox, LLC | Family Medicine | 1415 Old Weisgarber Rd. Ste 350, Knoxville, TN 37909 | 2017-12-01 |
| 1750757514 | Victor Brown | Counselor | 1451 Dowell Springs Blvd., Knoxville, TN 37909 | 2015-08-17 |
| 1083012488 | Melissa Wells Woodby | Marriage & Family Therapist | 6305 Lonas Dr, Knoxville, TN 37909 | 2014-12-17 |
| 1417375700 | David Francis Fair | Chiropractor | 1720 Tonalea Rd, Knoxville, TN 37909 | 2014-04-03 |
| 1295157519 | Danny Adkins, D.d.s. | Dentist | 1301 Old Weisgarber Road, Knoxville, TN 37909 | 2014-01-07 |
| 1376971085 | Quality Health Clinic LLC | Clinic/Center | 7348 Middlebrook Pike Suite D, Knoxville, TN 37909 | 2013-10-16 |
| 1952737942 | Martirea Fostine Jenkins Pratt | Nurse Practitioner | 930 Adell Ree Park Lane, Knoxville, TN 37909 | 2013-09-23 |
| 1104259324 | Dana Michelle Sweitzer | Nurse Practitioner | 1320 Old Weisgarber Road, Knoxville, TN 37909 | 2013-08-12 |
| Find all providers in zip 37909 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063774453 | Provision Medical Group Pllc | Clinic/Center | 1450 Dowell Springs Blvd Ste 250, Knoxville, TN 37909-2444 | 2012-06-12 |
| 1639113061 | Thompson Cancer Survival Center | Clinic/Center | 1915 White Ave, Knoxville, TN 37916-2300 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538682877 | Mtpc LLC | Clinic/Center | 4588 Carothers Parkway, Franklin, TN 37067 | 2017-07-19 |
| 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 |
| 1104166313 | Vanderbilt Maury Radiation Oncology, LLC | Clinic/Center | 1003 Reserve Blvd, Suite 120, Spring Hill, TN 37174 | 2013-02-25 |
| 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 |
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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.