DR. PAUL D KOERNER


Address: 322 Hosp Blvd, Cancer Care Center of Jackson, Jackson, TN 38305
Phone: 7316681668

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
MD31746 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN 3720631 05
TN 3702343 05
TN 3720567 05

Provider Secondary Practice Location

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

Other Providers PAUL KOERNER

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

Office Location

Street Address 322 HOSP BLVD
CANCER CARE CENTER OF JACKSON
City JACKSON
State TN
Zip Code 38305

Providers in the same zip code

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 Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City JACKSON
Zip Code 38305

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Dataset Information

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.

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