FAMILY CANCER CENTER PLLC (NPI# 1992710800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992710800 |
| Entity Type | Organization |
| Organization Name | FAMILY CANCER CENTER PLLC |
| Practice Address |
1012 S Miles Ave Union City TN 38261 |
| Mailing Address |
Po Box 242173 Memphis TN 38124-2173 |
| Practice Telephone | 7318841412 |
| Practice Fax Number | 7318841720 |
| Mailing Telephone | 9018500272 |
| Mailing Fax Number | 9018500782 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2010-07-23 |
| Authorized Official Name | DR. WILLIAM K. WALSH (MANAGING PHYSICIAN) |
| Authorized Official Telephone | 9016855655 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 23524 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3723894 | 05 | |
| TN | RRMCR | CG9522 | 01 |
| AR | 135396002 | 05 | |
| TN | BCBS | 4035183 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235458159 | Family Cancer Center Pllc | Non-Pharmacy Dispensing Site | 6005 Park Ave, Suite 1000-b, Memphis, TN 38119-5202 | 2010-05-18 |
| Street Address |
1012 S MILES AVE |
| City | UNION CITY |
| State | TN |
| Zip Code | 38261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831753391 | Allison A Vallee | Nurse Practitioner | 1012 S Miles Ave, Union City, TN 38261-5432 | 2019-04-30 |
| 1750708301 | Kizer Clinic Pllc | Pain Medicine | 1012 S Miles Ave, Union City, TN 38261-5432 | 2014-03-20 |
| 1336473933 | Integrity Oncology, Pllc | Specialist | 1012 S Miles Ave, Union City, TN 38261-5432 | 2009-09-29 |
| 1922199330 | Henry Daniel Babenco | Anesthesiology | 1012 S Miles Ave, Union City, TN 38261-5432 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437540200 | Brandi N Rose | Nurse Practitioner | 1109 E Reelfoot Ave Ste A, Union City, TN 38261 | 2015-02-13 |
| 1750719605 | Hannah V Burke | Nurse Practitioner | 1312 Bishop Street, Union City, TN 38261 | 2013-10-30 |
| 1548413545 | Vip Transpotation | Non-emergency Medical Transport (VAN) | 3888 Ken-tenn Hwy, Union City, TN 38261 | 2008-11-04 |
| 1902052137 | Michelle Davis Hudspeth | Speech-Language Pathologist | 1105 Sunswept Drive, Union City, TN 38261 | 2008-08-07 |
| 1053581744 | Terrell Clinic LLC | Nurse Practitioner | 701 East Reelfoot Ave, Suite 100, Union City, TN 38261 | 2008-03-10 |
| 1275673212 | Kristy Anne Mclaughlin | Counselor | 108 S 1st St, Union City, TN 38261 | 2007-02-07 |
| 1407900970 | Johnny R Miller Dmd Family Dentistry Inc | Dentist | 1209 Russell St, Union City, TN 38261 | 2007-01-22 |
| 1235223017 | Gabriel Paul Sullivan | Dentist | 1007 E Reelfoot Ave, Union City, TN 38261 | 2006-10-03 |
| 1003900887 | Gabe Sullivan Dds Plc | Dentist | 1007 East Reelfoot Ave, Union City, TN 38261 | 2006-10-03 |
| 1144312521 | Bhekumuzi Mcglen Khumalo | Podiatrist | 1190 E. Reelfoot Ave, Suite D, Union City, TN 38261 | 2006-09-29 |
| Find all providers in zip 38261 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053673848 | Theresa Martinez | Specialist | 409 42nd Street, Union City, NJ 07087-4917 | 2012-06-08 |
| 1639320997 | Kathleen A Kroll | Specialist | 36180 Hemlock St W, Union City, PA 16438-4306 | 2008-10-06 |
| 1972728327 | Colmexi Medical, LLC | Specialist | 805 11th Street, Union City, NJ 07087-6203 | 2007-04-13 |
| 1225186307 | Isaac Israel Stadler | Specialist | 415 39th St, Union City, NJ 07087 | 2007-01-08 |
| 1760568836 | Manuel Casulla Hugo | Specialist | 2009 Palisade Ave, Union City, NJ 07087-4429 | 2006-10-31 |
| 1992723878 | Hector Tomas Rubinstein | Specialist | 4512 Kennedy Blvd, Union City, NJ 07087-2707 | 2006-07-18 |
| 1154363661 | Hector Leandro Florentino | Specialist | 316 Monastery Pl, Union City, NJ 07087-4464 | 2006-06-11 |
| 1447231097 | Northwest Tennessee Cardiology Clinic, P. C. | Specialist | 1304 Medical Park Cir, Union City, TN 38261-5876 | 2005-11-10 |
| 1053304782 | Susan J Whitehurst | Specialist | 702a Sherrill St, Union City, TN 38261-5891 | 2005-08-29 |
| 1942200472 | Gilberto Gastell | Specialist | 408 37th St, Union City, NJ 07087-4804 | 2005-07-27 |
| Find all providers in UNION CITY | ||||
| City | UNION CITY |
| Zip Code | 38261 |
Please comment or provide details below to improve the information on FAMILY CANCER CENTER 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.