DYERSBURG RADIATION ONCOLOGY CENTER, L.L.C. (NPI# 1730206970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730206970 |
| Entity Type | Organization |
| Organization Name | DYERSBURG RADIATION ONCOLOGY CENTER, L.L.C. |
| Other Organization Name | CANCER CARE CENTER OF DYERSBURG |
| Practice Address |
440 Wilkinson Dr. Dyersburg TN 38024-0000 |
| Mailing Address |
322 Hosp. Blvd. Jackson TN 38305-2079 |
| Practice Telephone | 7312852211 |
| Practice Fax Number | 7312858222 |
| Mailing Telephone | 7316681668 |
| Mailing Fax Number | 7316685801 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2019-01-09 |
| Authorized Official Name | ROBIN CAIN HARDIN (CFO) |
| Authorized Official Telephone | 7316681668 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3720567 | 05 |
| Other Name | Type Code |
|---|---|
| Cancer Care Center of Dyersburg | Doing Business As Name - Organization |
| Street Address |
440 WILKINSON DR. |
| City | DYERSBURG |
| State | TN |
| Zip Code | 38024-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760273 | Alison Clement | Nurse Practitioner | 750 W Highway 51 Bypass, Dyersburg, TN 38024 | 2020-01-29 |
| 1861030652 | Pagela Jobe | Nurse Practitioner | 750 West Highway 51 Bypass, Dyersburg, TN 38024 | 2019-12-12 |
| 1083184055 | Whitney Young | Nurse Practitioner | 455 East Parkview, Dyersburg, TN 38024 | 2018-12-03 |
| 1518434067 | Myeyedr Optometry of Tennessee, LLC | Optometrist | 400 Us Hwy 51 S, Dyersburg, TN 38024 | 2018-11-01 |
| 1225529142 | Kidney Experts Pllc | Internal Medicine | 1575 Parr Ave # B, Dyersburg, TN 38024 | 2018-05-25 |
| 1407344690 | Darnisha Williams | Pharmacist | 2650 Lake Road, Dyersburg, TN 38024 | 2018-04-24 |
| 1376081547 | Chasidy Branch | Counselor | 640 U.S. Highway 51 Bypass E. Suite M, Dyersburg, TN 38024 | 2017-02-07 |
| 1548671845 | Shree Ramakant Mulay | Internal Medicine | 1575 Parr Ave Ste B, Dyersburg, TN 38024 | 2014-05-08 |
| 1588904965 | Selina Carol Purvis | Physical Therapy Assistant | 1900 Parr Avenue, Dyersburg, TN 38024 | 2013-02-22 |
| 1326396029 | Tennessee Sleep Managment LLC | Clinic/Center | 1190 Hwy 51 By-pass West, Suite C, Dyersburg, TN 38024 | 2012-08-28 |
| Find all providers in zip 38024 | ||||
| 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 |
| 1275966889 | Proton Therapy Center, LLC | Clinic/Center | 6450 Provision Cares Way, Knoxville, TN 37909-2544 | 2013-08-19 |
| 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 |
| 1639113061 | Thompson Cancer Survival Center | Clinic/Center | 1915 White Ave, Knoxville, TN 37916-2300 | 2006-06-15 |
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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.