THOMPSON CANCER SURVIVAL CENTER (NPI# 1639113061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639113061 |
| Entity Type | Organization |
| Organization Name | THOMPSON CANCER SURVIVAL CENTER |
| Other Organization Name | RADIATION |
| Practice Address |
1915 White Ave Knoxville TN 37916-2300 |
| Practice Telephone | 8655411485 |
| Practice Fax Number | 8655412564 |
| Mailing Telephone | 8655411485 |
| Mailing Fax Number | 8655412564 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2011-10-06 |
| Authorized Official Name | MRS. MITZI ANDERSON (VICE PRESIDENT, CFO) |
| Authorized Official Telephone | 8655411485 |
| Is Organization Subpart | Y |
| Parent Organization Name | COVENANT HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
00000196 | TN | Ambulatory Health Care Facilities |
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
00000171 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 103G706246 | 05 | |
| TN | PTAN | 103G706246 | 01 |
| Other Name | Type Code |
|---|---|
| Radiation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467688390 | Thompson Cancer Survival Center | Specialist | 1915 White Ave, Knoxville, TN 37916-2300 | 2009-06-05 |
| 1609818194 | Thompson Cancer Survival Center | Specialist | 1915 White Ave, Knoxville, TN 37916-2300 | 2006-06-11 |
| Street Address |
1915 WHITE AVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497759773 | Kenneth F Cofer | Obstetrics & Gynecology | 1915 White Ave, Knoxville, TN 37916-2300 | 2005-06-02 |
| 1811594146 | Candice Laura Blair | Nurse Practitioner | 1915 White Ave, Knoxville, TN 37916-2300 | 2020-10-09 |
| 1043829484 | Alora Terry | Genetic Counselor, MS | 1915 White Ave, Knoxville, TN 37916-2300 | 2020-07-30 |
| 1881236636 | Charly Harris | Genetic Counselor, MS | 1915 White Ave, Knoxville, TN 37916-2300 | 2019-10-14 |
| 1871145045 | Natalie Ann Civinelli Hurst | Nurse Practitioner | 1915 White Ave, Knoxville, TN 37916-2300 | 2019-07-09 |
| 1356904502 | Kara Geno | Nurse Practitioner | 1915 White Ave, Knoxville, TN 37916-2300 | 2019-04-15 |
| 1215498001 | Emily Rebecca Bowman | Nurse Practitioner | 1915 White Ave, Knoxville, TN 37916-2300 | 2019-03-26 |
| 1770058869 | Darrel T Hull | Nurse Practitioner | 1915 White Ave, Knoxville, TN 37916-2300 | 2018-10-04 |
| 1619410099 | Sarah Harder | Nurse Practitioner | 1915 White Ave, Knoxville, TN 37916-2300 | 2016-12-02 |
| 1194175083 | Deena Cantrill | Registered Nurse | 1915 White Ave, Knoxville, TN 37916 | 2016-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
| 1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
| 1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
| 1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
| 1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
| 1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
| 1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
| 1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
| Find all providers in zip 37916 | ||||
| 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 |
| 1275966889 | Proton Therapy Center, LLC | Clinic/Center | 6450 Provision Cares Way, Knoxville, TN 37909-2544 | 2013-08-19 |
| 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.