TENNESSEE CANCER SPECIALISTS PLLC (NPI# 1831247519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831247519 |
| Entity Type | Organization |
| Organization Name | TENNESSEE CANCER SPECIALISTS PLLC |
| Practice Address |
110 Hospital Dr St Mary's Jefferson Memorial Hospital Jefferson City TN 37760-5281 |
| Mailing Address |
Po Box 10988 Knoxville TN 37939-0988 |
| Practice Telephone | 8659345800 |
| Practice Fax Number | 8659345801 |
| Mailing Telephone | 8658620988 |
| Mailing Fax Number | 8655441861 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2016-07-14 |
| Authorized Official Name | DR. MITCHELL D MARTIN (CHIEF MANAGER PHYSICIAN) |
| Authorized Official Telephone | 8656379330 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844099 | Tennessee Cancer Specialists Pllc | Internal Medicine | 7650 Dannaher Dr Ste 100, Powell, TN 37849-4052 | 2019-07-26 |
| 1760717896 | Tennessee Cancer Specialists Pllc | Pharmacy | 1415 Old Weisgarber Rd Ste 200, Knoxville, TN 37909-1341 | 2009-10-07 |
| 1356585574 | Tennessee Cancer Specialists Pllc | Internal Medicine | 1415 Old Weisgarber Road, Suite 200, Knoxville, TN 37909 | 2009-05-01 |
| 1699956466 | Tennessee Cancer Specialists Pllc | Internal Medicine | 339 Bmh Physicians Office Building, Maryville, TN 37804-5820 | 2007-11-20 |
| 1003018003 | Tennessee Cancer Specialists Pllc | Internal Medicine | 401 Takoma Avenue, Takoma Adventist Hospital, Greeneville, TN 37743 | 2007-06-01 |
| 1831247709 | Tennessee Cancer Specialists Pllc | Internal Medicine | 824 Middlecreed Rd, Sevierville, TN 37862-5017 | 2007-01-08 |
| 1568510717 | Tennessee Cancer Specialists Pllc | Internal Medicine | 6307 Lonas Dr, Knoxville, TN 37909-2737 | 2007-01-06 |
| 1831246305 | Tennessee Cancer Specialists Pllc | Internal Medicine | 423 2nd Street, Tennova Newport Medical Center, Newport, TN 37821-3702 | 2007-01-05 |
| 1245387703 | Tennessee Cancer Specialists Pllc | Internal Medicine | 18820 Parkside Drive, Tennova Turkey Creek, Knoxville, TN 37934-1956 | 2007-01-05 |
| 1922155498 | Tennessee Cancer Specialists Pllc | Internal Medicine | 726 Mcfarland Street, Lakeway Regional Hospital, Morristown, TN 37814-3894 | 2007-01-05 |
| Street Address |
110 HOSPITAL DR ST MARY'S JEFFERSON MEMORIAL HOSPITAL |
| City | JEFFERSON CITY |
| State | TN |
| Zip Code | 37760-5281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952724403 | Russell Walters | Physician Assistant | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2014-02-03 |
| 1619302858 | Tabetha Ann Sparks | Nurse Practitioner | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2013-09-06 |
| 1912249814 | Joshua Porter | Emergency Medicine | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2013-03-19 |
| 1205152105 | Richard Baird | Emergency Medicine | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2010-04-16 |
| 1891022026 | Nancy Samsel Walker | Registered Nurse | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2009-11-09 |
| 1306036926 | Ashlea Brooke Daniel | Nurse Practitioner | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2007-07-30 |
| 1760530927 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 110 Hospital Dr, Suite G50, Jefferson City, TN 37760-5281 | 2007-01-06 |
| 1700981271 | Nathan Roger Gilbert | Emergency Medicine | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2006-09-13 |
| 1053354068 | John W. Burckle | Physician Assistant | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2006-06-14 |
| 1114960101 | Justin B. Mcgoldrick | Emergency Medicine | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2006-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
| 1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
| 1801259940 | Mcfarland Group, Inc. | Durable Medical Equipment & Medical Supplies | 665 E Broadway Blvd, Jefferson City, TN 37760 | 2016-04-04 |
| 1124422266 | Penny Williams-cordeiro | Nurse Practitioner | 1901 Brookside Drive, Suite 105, Kingsport, TN 37760 | 2014-10-17 |
| 1215363841 | Lindsey Ann Clyde | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2013-09-14 |
| 1679849814 | Allison Renee Farris | Surgery | 120 Hospital Dr Ste G20, Jefferson City, TN 37760 | 2012-03-31 |
| 1245562891 | Steven Jarvis Monroe | Dentist | 156 W. Broadway Blvd., Jefferson City, TN 37760 | 2010-02-08 |
| 1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
| 1780756189 | Steven J Monroe Dds PC | Dentist | 156 W Broadway Blvd, Jefferson City, TN 37760 | 2006-11-14 |
| 1720188600 | Dennis U Spjut | Psychologist | 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 | 2006-09-22 |
| Find all providers in zip 37760 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477782092 | Tamara V Hopkins, Md, LLC | Internal Medicine | 2009 Saint Marys Blvd Ste A, Jefferson City, MO 65109-1509 | 2009-07-02 |
| 1457591463 | David Douglas Westhoff | Internal Medicine | 3605 Missouri Blvd, Jefferson City, MO 65109-7111 | 2009-03-03 |
| 1356436802 | Joseph J Doggett | Internal Medicine | 1432 Southwest Boulevard, Jefferson City, MO 65109 | 2006-10-03 |
| 1144226465 | Tamara Vann Hopkins | Internal Medicine | 1241 W. Stadium Blvd., Jefferson City, MO 65109-6023 | 2005-06-22 |
| 1093184558 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 120 Hospital Drive, Ste G50, Jefferson City, TN 37760-7730 | 2015-09-15 |
| 1033379938 | Rolando Daniel Breier | Internal Medicine | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2008-06-13 |
| 1760530927 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 110 Hospital Dr, Suite G50, Jefferson City, TN 37760-5281 | 2007-01-06 |
| 1215093257 | Jefferson City Medical Group, P.C. | Internal Medicine | 1241 W Stadium Blvd, Second Floor, Suite 2300, Jefferson City, MO 65109-6023 | 2006-12-27 |
| 1073611919 | Shadi Maher Haddadin | Internal Medicine | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2006-09-21 |
| 1467411488 | Ali Khojasteh | Internal Medicine | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2006-03-20 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 37760 |
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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.