TENNESSEE CANCER SPECIALISTS PLLC (NPI# 1023166279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023166279 |
| Entity Type | Organization |
| Organization Name | TENNESSEE CANCER SPECIALISTS PLLC |
| Practice Address |
389 Forge Ridge Rd Harrogate TN 37752-7730 |
| Mailing Address |
Po Box 10988 Knoxville TN 37939-0988 |
| Practice Telephone | 4238695893 |
| Practice Fax Number | 4238693574 |
| Mailing Telephone | 8658620998 |
| Mailing Fax Number | 8655441861 |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2016-07-14 |
| Authorized Official Name | DR. 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 |
|---|---|---|---|---|
| 1841844099 | Tennessee Cancer Specialists Pllc | Internal Medicine | 7650 Dannaher Dr Ste 100, Powell, TN 37849-4052 | 2019-07-26 |
| 1760717896 | Tennessee Cancer Specialists Pllc | Pharmacy | 1415 Old Weisgarber Rd Ste 200, Knoxville, TN 37909-1341 | 2009-10-07 |
| 1356585574 | Tennessee Cancer Specialists Pllc | Internal Medicine | 1415 Old Weisgarber Road, Suite 200, Knoxville, TN 37909 | 2009-05-01 |
| 1699956466 | Tennessee Cancer Specialists Pllc | Internal Medicine | 339 Bmh Physicians Office Building, Maryville, TN 37804-5820 | 2007-11-20 |
| 1003018003 | Tennessee Cancer Specialists Pllc | Internal Medicine | 401 Takoma Avenue, Takoma Adventist Hospital, Greeneville, TN 37743 | 2007-06-01 |
| 1831247709 | Tennessee Cancer Specialists Pllc | Internal Medicine | 824 Middlecreed Rd, Sevierville, TN 37862-5017 | 2007-01-08 |
| 1568510717 | Tennessee Cancer Specialists Pllc | Internal Medicine | 6307 Lonas Dr, Knoxville, TN 37909-2737 | 2007-01-06 |
| 1831246305 | Tennessee Cancer Specialists Pllc | Internal Medicine | 423 2nd Street, Tennova Newport Medical Center, Newport, TN 37821-3702 | 2007-01-05 |
| 1245387703 | Tennessee Cancer Specialists Pllc | Internal Medicine | 18820 Parkside Drive, Tennova Turkey Creek, Knoxville, TN 37934-1956 | 2007-01-05 |
| 1922155498 | Tennessee Cancer Specialists Pllc | Internal Medicine | 726 Mcfarland Street, Lakeway Regional Hospital, Morristown, TN 37814-3894 | 2007-01-05 |
| Street Address |
389 FORGE RIDGE RD |
| City | HARROGATE |
| State | TN |
| Zip Code | 37752-7730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689641375 | Cancer Center Harrogate | Clinic/Center | 389 Forge Ridge Rd, Harrogate, TN 37752-7730 | 2006-03-02 |
| 1295167351 | Corey E Payne | Nurse Practitioner | 389 Forge Ridge Rd, Harrogate, TN 37752-7730 | 2013-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295281145 | Tracie Herrell | Nurse Practitioner | 159 Piccadilly Ave, Harrogate, TN 37752 | 2016-08-31 |
| 1245535715 | Julianne Christine Ray | Physician Assistant | 6965 Cumberland Gap Parkway, Lincoln Memorial University, Harrogate, TN 37752 | 2011-01-14 |
| 1003975392 | Psychiatric Practice,llc | Psychiatry & Neurology | 6144 Cumberland Gap Pkway, Suite 1, Harrogate, TN 37752 | 2006-12-06 |
| 1922180991 | Debbie A Poore | Nurse Practitioner | 169 Westmoreland St, Harrogate, TN 37752 | 2006-10-19 |
| 1306938352 | Hearland Medical P C | Family Medicine | 170 Beech Street, Suite 1, Harrogate, TN 37752 | 2006-09-28 |
| 1790889475 | Nancy Deane Good Maddox | Psychologist | 6144 Cumberland Gap Parkway, Suite 2, Harrogate, TN 37752 | 2006-09-12 |
| 1710913090 | Gina Marie Defranco | Family Medicine | 424 N. Broad Street, New Tazewell, TN 37752 | 2006-06-25 |
| 1497792253 | Kenneth P Trzil | Emergency Medicine | 165 Westermoreland St, Harrogate, TN 37752 | 2006-06-01 |
| 1831164862 | Ramesh Kadekoppal Rao | Radiology | 389 Forge Ridge Road, Harrogate, TN 37752 | 2006-02-22 |
| 1447867080 | Evgenia Pavlovna Suttles | Registered Nurse | 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 | 2020-09-28 |
| Find all providers in zip 37752 | ||||
| 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 |
|---|---|---|---|---|
| 1336779974 | Verdi Oncology Tennessee, PC | Internal Medicine | 2004 Hayes St Ste 720, Nashville, TN 37203-2658 | 2020-01-23 |
| 1841844099 | Tennessee Cancer Specialists Pllc | Internal Medicine | 7650 Dannaher Dr Ste 100, Powell, TN 37849-4052 | 2019-07-26 |
| 1710406350 | Hope, Blood and Cancer Center | Internal Medicine | 110 Corporate Dr Ste 120, Johnson City, TN 37604-2008 | 2017-09-14 |
| 1407201882 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 6408 Papermill Drive, Suite 220, Knoxville, TN 37919-4858 | 2016-05-04 |
| 1790192565 | Yonette Paul | Internal Medicine | 2202 N John B Dennis Hwy Ste 100, Kingsport, TN 37660-5904 | 2014-07-14 |
| 1942572862 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 2305 Chambliss Ave, Sw, Sky Ridge Medical Center Main, Cleveland, TN 37311-3899 | 2012-02-08 |
| 1619263852 | Namratha Reddy Vontela | Internal Medicine | 200 New York Ave Ste 200, Oak Ridge, TN 37830 | 2011-06-27 |
| 1356632624 | James Michael Pauff | Internal Medicine | 4488 Carothers Pkwy Ste 200, Franklin, TN 37067-6582 | 2011-04-21 |
| 1366740425 | Richert Edgar Goyette | Internal Medicine | 1706 Alcott Manor Ln, Knoxville, TN 37922-8094 | 2011-03-14 |
| 1649406687 | H2u Wellness Centers, LLC | Internal Medicine | 3322 West End Ave, Nashville, TN 37203 | 2009-06-04 |
| Find all providers with the same taxonomy | ||||
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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.