DR. PAUL D KOERNER (NPI# 1023072485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023072485 |
Entity Type | Individual |
Full Name | DR. PAUL D KOERNER |
Credential | MD |
Practice Address |
322 Hosp Blvd Cancer Care Center of Jackson Jackson TN 38305 |
Practice Telephone | 7316681668 |
Practice Fax Number | 7316685801 |
Mailing Telephone | 7316681668 |
Mailing Fax Number | 7316685801 |
Enumeration Date | 2006-04-13 |
Last Update Date | 2019-01-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD31746 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3720631 | 05 | |
TN | 3702343 | 05 | |
TN | 3720567 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
440 Wilkinson Dr, Dyersburg Radiation Oncology Center LLC Dba Cancer Care, Dyersburg, TN 38024 | 7312852211 | 7312858222 |
1290 Kelley Dr, Paris, TN 382424745 | 7316443522 | 7316442806 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023565066 | Paul Koerner | Pharmacist | 2400 S Jackson St, Seattle, WA 98144-2364 | 2016-09-07 |
1760890149 | Paul Koerner | Pharmacist | 1902 Vine St, Attn: Pharmacy, Hays, KS 67601-3697 | 2014-07-29 |
1285761536 | Paul Koerner | Occupational Therapist | 10714 North Rd, Perrysburg, NY 14129-9746 | 2007-02-27 |
1134187651 | Paul A Koerner | Orthopaedic Surgery | 300 Birnie Ave, Suite 201, Springfield, MA 01107-1107 | 2006-05-03 |
Street Address |
322 HOSP BLVD CANCER CARE CENTER OF JACKSON |
City | JACKSON |
State | TN |
Zip Code | 38305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
Find all providers in zip 38305 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174613830 | Vicksburg Oncology Associates LLC | Radiology | 970 Lakeland Dr Ste 34, Jackson, MS 39216-4640 | 2006-10-13 |
1841224433 | Regents of The University of Michigan | Radiology | 1102 East Michigan Ave, Jackson, MI 49201-0010 | 2006-07-10 |
1184607210 | Srinivasan Vijayakumar | Radiology | 350 W Woodrow Wilson Ave, Suite 16, Jackson, MS 39213-7681 | 2005-11-22 |
1013919216 | Richard B Friedman | Radiology | 1225 N State St, Jackson, MS 39202-2064 | 2005-06-01 |
1518969724 | Steven E Zachow | Radiology | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2005-06-01 |
1497757603 | Sidney A Johnson Jr. | Radiology | 2969 Curran Dr N, Jackson, MS 39216-4121 | 2005-06-01 |
1144883620 | W A Foote Memorial Hospital Inc | Radiology | 205 N East Ave, Jackson, MI 49201-1753 | 2019-04-19 |
1124584800 | Teessa Perekattu Kuruvilla | Radiology | Department of Radiation Oncology, 350 Woodrow Wilson Dr, Jackson, MS 39216-4505 | 2019-02-18 |
1194245472 | W. A. Foote Memorial Hospital, Inc | Radiology | 205 N East Ave, Jackson, MI 49201-1753 | 2017-06-27 |
1043743339 | Hiba Ahmed | Radiology | 350 W Woodrow Wilson Ave Ste 1600, Jackson, MS 39213-7627 | 2017-04-04 |
Find all providers in JACKSON |
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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.