MID SOUTH RADIATION ONCOLOGY CENTER, LLC (NPI# 1063415461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063415461 |
| Entity Type | Organization |
| Organization Name | MID SOUTH RADIATION ONCOLOGY CENTER, LLC |
| Practice Address |
1381 S Germantown Rd Germantown TN 38138-2225 |
| Mailing Address |
Po Box 341286 Memphis TN 38184-1286 |
| Practice Telephone | 9016242600 |
| Mailing Telephone | 9012912400 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. TODD STOCKSTILL (CHIEF MANAGER) |
| Authorized Official Telephone | 9016242600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
========= | TN | Allopathic & Osteopathic Physicians |
| Street Address |
1381 S GERMANTOWN RD |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215354824 | West Clinic, P.C. | Radiology | 1381 S Germantown Rd, Germantown, TN 38138-2225 | 2014-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| 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 |
|---|---|---|---|---|
| 1336458942 | Amar Rewari | Radiology | 20330 Seneca Meadows Pkwy, Germantown, MD 20876-7004 | 2010-09-30 |
| 1932315389 | Lois Mastrofrancesco | Radiology | 1869 Laurel Ln, Germantown, TN 38139-6955 | 2007-05-15 |
| 1770994667 | Yuefeng Wang | Radiology | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2014-05-13 |
| 1215354824 | West Clinic, P.C. | Radiology | 1381 S Germantown Rd, Germantown, TN 38138-2225 | 2014-03-20 |
| 1285869362 | Noam A Vanderwalde | Radiology | 7945 Wolf River Blvd, Germantown, TN 38138-1733 | 2009-05-19 |
| 1558578666 | Michael Farmer | Radiology | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2007-05-17 |
| 1922104157 | David L. Schwartz | Radiology | 7945 Wolf River Blvd, Germantown, TN 38138-1733 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371409 | Jsphymgmt PC | Radiology | 6450 Kingston Pike, Knoxville, TN 37919-4833 | 2019-11-22 |
| 1275951519 | Mark Sittig | Radiology | 2004 Hayes St Ste Ll15, Nashville, TN 37203-2647 | 2014-04-03 |
| 1316389182 | He Zhu | Radiology | 4588 Carothers Pkwy, Franklin, TN 37067 | 2013-07-22 |
| 1205270428 | Nitesh G Rana | Radiology | 1635 Gunbarrel Rd Ste 100, Chattanooga, TN 37421-4983 | 2013-04-18 |
| 1235427220 | Jeffrey Mathew Friedman | Radiology | 225 Big Station Camp Blvd Ste 104, Gallatin, TN 37066 | 2011-07-12 |
| 1801071451 | West Clinic, PC | Radiology | 55 Humphreys Ctr, Suite 100, Memphis, TN 38120-2374 | 2008-01-02 |
| 1295826535 | Steven Richard Goertz | Radiology | 2107 Edward Curd Ln, Franklin, TN 37067-5615 | 2006-09-28 |
| 1376643536 | Pullatikurthi Pradeep Kumar | Radiology | Corner of Lamont and Sydney, Mountain Home, TN 37684-4000 | 2006-09-25 |
| 1295832525 | Vanderbilt Gateway Cancer Center, Gp | Radiology | 375 Alfred Thun Road, Clarksville, TN 37040 | 2006-09-20 |
| 1699718015 | Allen G. Meek | Radiology | 6450 Provision Cares Way, Knoxville, TN 37909-2544 | 2006-06-14 |
| Find all providers with the same taxonomy | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
Please comment or provide details below to improve the information on MID SOUTH RADIATION ONCOLOGY CENTER, LLC.
| 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.