RADIATION ONCOLOGY MEMPHIS PLLC (NPI# 1972708915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972708915 |
| Entity Type | Organization |
| Organization Name | RADIATION ONCOLOGY MEMPHIS PLLC |
| Practice Address |
5959 Park Ave Department of Radiation Oncology Memphis TN 38119-5200 |
| Mailing Address |
Po Box 2044 Dept 2600 Memphis TN 38101-2044 |
| Practice Telephone | 9018210338 |
| Practice Fax Number | 9018210384 |
| Mailing Telephone | 9018210338 |
| Mailing Fax Number | 9018210341 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARLENE K WRIGHT IV (BILLING MANAGER) |
| Authorized Official Telephone | 9018210338 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
MD0000036209 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
5959 PARK AVE DEPARTMENT OF RADIATION ONCOLOGY |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558361576 | Nadine Roux | Physical Therapist | 5959 Park Ave, Memphis, TN 38119-5200 | 2005-08-01 |
| 1932708054 | Healthcare Network Tennessee, Inc. | Neurological Surgery | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-10-20 |
| 1043824279 | Methodist Healthcare East Hospital | Rehabilitation Unit | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
| 1356955579 | Methodist Healthcare East Hospital | General Acute Care Hospital | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
| 1346854577 | Methodist Healthcare East Hospital | Psychiatric Unit | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
| 1154931657 | Kevin Albert Stahl | Nurse Anesthetist, Certified Registered | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-08-09 |
| 1558979658 | Jessica Anne Raebel | Nurse Anesthetist, Certified Registered | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-07-15 |
| 1023678588 | Hanah Rose Cates | Physician Assistant | 5959 Park Ave, Memphis, TN 38119-5200 | 2019-06-17 |
| 1528621273 | Joshua Ryan Godsey | Nurse Anesthetist, Certified Registered | 5959 Park Ave, Memphis, TN 38119-5200 | 2019-04-18 |
| 1750846283 | Daniel Neu | Pharmacist | 5959 Park Ave, Memphis, TN 38119-5200 | 2019-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 2085R0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Therapeutic Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295892263 | William Kenneth Strike | Radiology | 102 Vermont Ave, Oak Ridge, TN 37830-6402 | 2007-01-02 |
| 1952673253 | Nashville General Radiological Services | Radiology | 1818 Albion St, Nashville, TN 37208-2918 | 2012-02-01 |
| 1548586035 | Oak Ridge Radiation Oncology P LLC | Radiology | 102 Vermont Ave, Oak Ridge, TN 37830-6402 | 2010-04-09 |
| 1932369279 | Mersiha Hadziahmetovic | Radiology | 2220 Pierce Ave, Radiation Oncology Department B945, Nashville, TN 37232-5671 | 2008-06-10 |
| 1164595070 | Tennessee Oncology,pllc | Radiology | 2004 Hayes St Ste 800, Nashville, TN 37203-2659 | 2006-11-16 |
| 1003905969 | Paul Allen Rosenblatt | Radiology | 4220 Harding Road, Rudy Cancer Center, Nashville, TN 37205-2005 | 2006-10-11 |
| 1790706968 | Robert Todd Mcclure Mdpc | Radiology | 300 Steam Plant Rd, Ste 150, Gallatin, TN 37066-3032 | 2006-07-22 |
| 1245225119 | John A. Fincher | Radiology | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2005-09-15 |
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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.