TENNESSEE CANCER SPECIALISTS PLLC (NPI# 1154829265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154829265 |
| Entity Type | Organization |
| Organization Name | TENNESSEE CANCER SPECIALISTS PLLC |
| Other Organization Name | TENNESSEE CANCER SPECIALISTS PLLC |
| Practice Address |
304 Wright St Sweetwater TN 37874-1181 |
| Mailing Address |
900 E Hill Ave Ste 230 Knoxville TN 37915-2565 |
| Practice Telephone | 8659345800 |
| Practice Fax Number | 8659345801 |
| Mailing Telephone | 8658620998 |
| Mailing Fax Number | 8655441861 |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MITCHELL D MARTIN (CHIEF MANAGER/PHYSICIAN) |
| Authorized Official Telephone | 8656379330 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | TENNESSEE CANCER SPECIIALISTS PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3725737 | 05 |
| Other Name | Type Code |
|---|---|
| Tennessee Cancer Specialists PLLC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 304 Wright St, Sweetwater, TN 378741181 | 8659345800 | 8659345801 |
| 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 |
304 WRIGHT ST |
| City | SWEETWATER |
| State | TN |
| Zip Code | 37874-1181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460525 | Kenya Kozawa | Internal Medicine | 304 Wright St, Sweetwater, TN 37874-1181 | 2005-07-13 |
| 1558995399 | Sweetwater Hospital Physician Group | Obstetrics & Gynecology | 304 Wright St, Sweetwater, TN 37874-1181 | 2020-03-02 |
| 1376192286 | Allison Kellie Collins | Registered Nurse | 304 Wright St, Sweetwater, TN 37874-1181 | 2019-09-04 |
| 1932607793 | Tennessee Cancer Specialists Pllc | Internal Medicine | 304 Wright St, Sweetwater, TN 37874-1181 | 2018-01-26 |
| 1134640675 | Christal Dawn Frerichs | Nurse Practitioner | 304 Wright St, Sweetwater, TN 37874-1181 | 2017-07-06 |
| 1306206081 | Ashlin Martin Paz | Obstetrics & Gynecology | 304 Wright St, Sweetwater, TN 37874-1181 | 2016-02-24 |
| 1649654385 | Thomas Vance | Nurse Practitioner | 304 Wright St, Sweetwater, TN 37874-1181 | 2015-07-13 |
| 1932587342 | Laurence Oliver James | Internal Medicine | 304 Wright St, Sweetwater, TN 37874-1181 | 2015-05-18 |
| 1194127290 | Frederick A. Klein, Md., PC | Urology | 304 Wright St, Sweetwater, TN 37874-1181 | 2014-09-19 |
| 1831520683 | Ken Kozawa, I, Md, PC | Nurse Practitioner | 304 Wright St, Sweetwater, TN 37874-1181 | 2013-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588109003 | Tammy Allen | Speech-Language Pathologist | 120 Clover Hill Drive, Sweetwater, TN 37874 | 2016-12-20 |
| 1194164996 | Wal-mart Stores East, Lp | Technician/Technologist | 935 State Hwy 11 South, Sweetwater, TN 37874 | 2013-06-14 |
| 1609117720 | Wal-mart Stores East Lp | Pharmacy | 935 State Highway 11 South, Sweetwater, TN 37874 | 2013-03-14 |
| 1568537868 | Joe Allen Moore | Dentist | 206 Mayes Ave, Sweetwater, TN 37874 | 2006-11-21 |
| 1699880518 | John Michael Fox | Dentist | 201 S High St, Sweetwater, TN 37874 | 2006-08-20 |
| 1114931516 | Thomas Alan Foster | Optometrist | 689a Hwy 68, Sweetwater, TN 37874 | 2006-07-28 |
| 1962486183 | Sweetwater Nursing Center Inc | Nursing Facility/Intermediate Care Facility | 978 Highway 11 South, Sweetwater, TN 37874 | 2005-12-01 |
| 1518953777 | John G Richeson | Dentist | 745 New Highway 68, Sweetwater, TN 37874 | 2005-09-23 |
| 1861973737 | Shannon Dale Massingale | Pharmacist | 205 North Main Street, Sweetwater, TN 37874 | 2018-08-28 |
| 1962833913 | Bridgette Vestal | Pharmacist | 935 State Hwy 11 South, Sweetwater, TN 37874 | 2013-12-02 |
| Find all providers in zip 37874 | ||||
| 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 |
|---|---|---|---|---|
| 1932607793 | Tennessee Cancer Specialists Pllc | Internal Medicine | 304 Wright St, Sweetwater, TN 37874-1181 | 2018-01-26 |
| 1871798686 | Tennessee Cancer Specialists Pllc | Internal Medicine | 304 Wright St, Sweetwater Hospital Association, Sweetwater, TN 37874-1181 | 2007-06-20 |
| 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 | ||||
| City | SWEETWATER |
| Zip Code | 37874 |
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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.