UPPER CUMBERLAND ONCOLOGY (NPI# 1346261245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346261245 |
| Entity Type | Organization |
| Organization Name | UPPER CUMBERLAND ONCOLOGY |
| Practice Address |
1 Medical Center Blvd Cookeville TN 38501-4294 |
| Mailing Address |
Po Box 827 Cookeville TN 38503-0827 |
| Practice Telephone | 9316462497 |
| Practice Fax Number | 9316465757 |
| Mailing Telephone | 9317832497 |
| Mailing Fax Number | 9317835757 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2009-11-05 |
| Authorized Official Name | ALGIS P SIDRYS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9317832497 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3733318 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629492772 | Upper Cumberland Oncology | Internal Medicine | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2014-02-10 |
| Street Address |
1 MEDICAL CENTER BLVD |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-4294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596999 | Christopher J Klugewicz | Internal Medicine | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2005-05-23 |
| 1619580016 | Sheldon Hitchcock | Pharmacist | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2020-08-25 |
| 1174140008 | William Timothy Wilson | Registered Nurse | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2020-06-26 |
| 1689294233 | Kayltin Ray | Respiratory Therapist, Registered | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2020-04-23 |
| 1508499443 | Josh Brindley | Nurse Practitioner | 1 Medical Center Blvd, 5 West, Cookeville, TN 38501-4294 | 2020-02-19 |
| 1932747714 | Larry Darnell Calender | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-12-12 |
| 1346882719 | Sharon Marie Rodgers | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-10-17 |
| 1902451974 | Mason Mercedes Anderson | Occupational Therapy Assistant | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-08-07 |
| 1679138747 | Jessica Some | Pharmacist | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-05-04 |
| 1962967273 | Rachel Adams | Occupational Therapist | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| 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 |
|---|---|---|---|---|
| 1124068275 | Jonas Vytas Sidrys | Radiology | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2006-06-07 |
| 1104873090 | Algis Petras Sidrys | Radiology | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2006-05-27 |
| 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 |
| 1932315389 | Lois Mastrofrancesco | Radiology | 1869 Laurel Ln, Germantown, TN 38139-6955 | 2007-05-15 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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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.