TENNESSEE ONCOLOGY, PLLC (NPI# 1831589035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831589035 |
| Entity Type | Organization |
| Organization Name | TENNESSEE ONCOLOGY, PLLC |
| Practice Address |
2390 N Ocoee St Cleveland TN 37311-3850 |
| Mailing Address |
Po Box 440100 Nashville TN 37244-0100 |
| Practice Telephone | 4233390300 |
| Practice Fax Number | 4233391737 |
| Mailing Telephone | 6153290570 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2017-07-06 |
| Authorized Official Name | PATTIE DOUGLAS (PAYER RELATION MANAGER) |
| Authorized Official Telephone | 6155146876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q028583 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428400 | Tennessee Oncology, Pllc | Internal Medicine | 1208 Pointe Centre Dr Ste 110, Chattanooga, TN 37421-3989 | 2020-08-18 |
| 1881212553 | Tennessee Oncology, Pllc | Internal Medicine | 4645 Battlefield Pkwy, Ringgold, GA 30736-8011 | 2020-07-09 |
| 1619522133 | Tennessee Oncology, Pllc | Clinical Medical Laboratory | 4488 Carothers Pkwy, Suite 310, Franklin, TN 37067 | 2019-08-02 |
| 1235741638 | Tennessee Oncology, Pllc | Internal Medicine | 1032 Mccallie Ave Ste 200, Chattanooga, TN 37403-2836 | 2020-08-18 |
| 1326503749 | Tennessee Oncology, Pllc | Radiology | 4488 Carothers Parkway, Suite 110, Franklin, TN 37067 | 2019-02-11 |
| 1457824591 | Tennessee Oncology, Pllc | Internal Medicine | 4750 Battlefield Pkwy, Ringgold, GA 30736-5164 | 2019-01-10 |
| 1659761203 | Tennessee Oncology, Pllc | Internal Medicine | 250 25th Ave N, Suite 200, Nashville, TN 37203-1632 | 2015-02-03 |
| 1861730798 | Tennessee Oncology, Pllc | Internal Medicine | 4700 Battlefield Pkwy, Suite 230, Ringgold, GA 30736-5166 | 2013-01-28 |
| 1689910986 | Tennessee Oncology, Pllc | Internal Medicine | 2200 E 3rd St, Suite 100, Chattanooga, TN 37404-2744 | 2012-12-14 |
| 1437494861 | Tennessee Oncology, Pllc | Internal Medicine | 605 Glenwood Dr, Suite 200, Chattanooga, TN 37404-1108 | 2012-12-12 |
| Street Address |
2390 N OCOEE ST |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37311-3850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152691 | Sylvia L Krueger | Internal Medicine | 2390 N Ocoee St, Cleveland, TN 37311-3850 | 2005-05-23 |
| 1922633312 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 2390 N Ocoee St, Cleveland, TN 37311-3850 | 2020-03-06 |
| 1194381186 | Jonathan Freese | Nurse Practitioner | 2390 N Ocoee St, Cleveland, TN 37311-3850 | 2019-05-15 |
| 1356456149 | Ronald C Mahlo | Nurse Practitioner | 2390 N Ocoee St, Cleveland, TN 37311-3850 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1285070458 | Scott Daniel Pugh | Counselor | 183 1st St Ne, Cleveland, TN 37311 | 2013-05-15 |
| 1407299191 | Bess E Howard | Nurse Practitioner | 2449 Spring Creek Blvd, Ne, Cleveland, TN 37311 | 2013-04-11 |
| 1588913925 | Thomas C Reese | Hearing Instrument Specialist | 60 25th Street Ne, Suite 5, Cleveland, TN 37311 | 2012-08-30 |
| 1932484607 | Southeast Tn Human Resource Agency | Non-emergency Medical Transport (VAN) | 165 Edwards Street Se, Cleveland, TN 37311 | 2011-10-13 |
| 1588956106 | Lee M Radford | Orthopaedic Surgery | 2350 N Ocoee Street, Cleveland, TN 37311 | 2011-05-16 |
| 1124251913 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1300 25th St Nw # 104, Cleveland, TN 37311 | 2009-08-27 |
| 1952554834 | Bradley Cleveland Services Inc | Counselor | 2611 Bower Lane, Cleveland, TN 37311 | 2008-10-23 |
| 1851543151 | Bradley Cleveland Services, Inc | Counselor | 2601 Bower Lane Se, Cleveland, TN 37311 | 2008-10-17 |
| 1306098082 | Kidney Center of Cleveland, LLC | Clinic/Center | 2253 Chambliss Avenue, Cleveland, TN 37311 | 2008-10-14 |
| Find all providers in zip 37311 | ||||
| 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 |
|---|---|---|---|---|
| 1942572862 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 2305 Chambliss Ave, Sw, Sky Ridge Medical Center Main, Cleveland, TN 37311-3899 | 2012-02-08 |
| 1629211982 | David James Seastone | Internal Medicine | Ccf Deparment of Hematology Oncology, 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2009-04-15 |
| 1922254937 | Aaron T Gerds | Internal Medicine | 9500 Euclid Ave R35, Cleveland, OH 44195 | 2008-08-09 |
| 1366637563 | An L Tran | Internal Medicine | 2390 N. Ocoee St., Cleveland, TN 37311 | 2007-09-11 |
| 1962510826 | Alberto Jose Montero | Internal Medicine | Taussig Cancer Institute 9500 Euclid Ave, R35, Cleveland, OH 44195-1002 | 2006-08-29 |
| 1942206388 | Paul F Hergenroeder | Internal Medicine | 17876 Saint Clair Ave, Cleveland, OH 44110 | 2005-06-21 |
| 1588669113 | Donald Eicher | Internal Medicine | 18200 Lorain Ave, Moll Pavilion, Cleveland, OH 44111-5605 | 2005-06-20 |
| 1437152691 | Sylvia L Krueger | Internal Medicine | 2390 N Ocoee St, Cleveland, TN 37311-3850 | 2005-05-23 |
| 1033764600 | Heather R Skomski | Internal Medicine | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2019-08-09 |
| 1902269137 | Amanda Nizam | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-3201 | 2016-04-04 |
| Find all providers in CLEVELAND | ||||
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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.