TENNESSEE CANCER SPECIALISTS, PLLC (NPI# 1942572862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942572862 |
| Entity Type | Organization |
| Organization Name | TENNESSEE CANCER SPECIALISTS, PLLC |
| Practice Address |
2305 Chambliss Ave, Sw Sky Ridge Medical Center Main Cleveland TN 37311-3899 |
| Mailing Address |
Po Box 10988 Knoxville TN 37939-0988 |
| Practice Telephone | 4233390300 |
| Practice Fax Number | 4234725687 |
| Mailing Telephone | 8658620998 |
| Mailing Fax Number | 8655441861 |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |
| Authorized Official Name | 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 |
|---|---|---|---|---|
| 1407201882 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 6408 Papermill Drive, Suite 220, Knoxville, TN 37919-4858 | 2016-05-04 |
| 1356499172 | Tennessee Cancer Specialists, Pllc | Internal Medicine | Highway 411 North, Etowah, TN 37331 | 2007-01-08 |
| 1518015601 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 576 Fort Loudoun Medical Center Drive, Suite 101, Loudoun, TN 37771-5676 | 2007-01-08 |
| 1548708977 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 4307 Highway 66 S, Suite 2, Rogersville, TN 37857-3155 | 2017-02-06 |
| 1457899882 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 923 E Central Ave, La Follette, TN 37766-2768 | 2017-02-06 |
| 1437692498 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 990 Oak Ridge Tpke, Methodist Medical Center, Oak Ridge, TN 37830-6976 | 2016-11-23 |
| 1093184558 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 120 Hospital Drive, Ste G50, Jefferson City, TN 37760-7730 | 2015-09-15 |
| 1275935264 | Tennessee Cancer Specialists, Pllc | Nurse Practitioner | 900 E Hill Ave, Suite 230, Knoxville, TN 37915-2566 | 2014-09-22 |
| 1003163288 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 975 E 3rd St, Erlinger Medical Center, Chattanooga, TN 37403-2147 | 2012-08-07 |
| 1952657231 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 400 N State of Franklin Rd, Mountain State Health Alliance, Johnson City, TN 37604-6035 | 2012-07-24 |
| Street Address |
2305 CHAMBLISS AVE, SW SKY RIDGE MEDICAL CENTER MAIN |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37311-3899 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1831589035 | Tennessee Oncology, Pllc | Internal Medicine | 2390 N Ocoee St, Cleveland, TN 37311-3850 | 2015-01-27 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on TENNESSEE CANCER SPECIALISTS, PLLC.
| 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.