TENNESSEE CANCER SPECIALIST PLLC (NPI# 1710094305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710094305 |
| Entity Type | Organization |
| Organization Name | TENNESSEE CANCER SPECIALIST PLLC |
| Practice Address |
10820 Parkside Dr Suite G100 Knoxville TN 37934-1956 |
| Mailing Address |
Po Box 10988 Knoxville TN 37939-0988 |
| Practice Telephone | 8659345800 |
| Practice Fax Number | 8659345801 |
| Mailing Telephone | 8658623563 |
| Mailing Fax Number | 8655441861 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2016-07-14 |
| Authorized Official Name | 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 |
|---|---|---|---|---|
| 1730653494 | Tennessee Cancer Specialist Pllc | Internal Medicine | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 | 2019-01-16 |
| 1013485697 | Tennessee Cancer Specialist Pllc | Internal Medicine | 2607 Kingston Pike Ste 100, Knoxville, TN 37919-3343 | 2018-11-13 |
| 1154841666 | Tennessee Cancer Specialist Pllc | Internal Medicine | 2240 Sutherland Ave Ste 103, Knoxville, TN 37919-2333 | 2017-06-26 |
| Street Address |
10820 PARKSIDE DR SUITE G100 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37934-1956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790768091 | Christopher Michael Nolte | Psychiatry & Neurology | 10820 Parkside Dr, Knoxville, TN 37934-1956 | 2005-11-22 |
| 1588291538 | Amanda Smeltzer Gibson | Pharmacist | 10820 Parkside Dr, Knoxville, TN 37934-1956 | 2020-03-26 |
| 1912537655 | Stephen W Turski | Pharmacy | 10820 Parkside Dr, Pharmacy Department, Knoxville, TN 37934 | 2020-01-22 |
| 1306335724 | Canton Hollow Emergency Physicians Pllc | Physician Assistant | 10820 Parkside Dr, Knoxville, TN 37934 | 2018-05-02 |
| 1245727874 | Farragut Inpatient Services Pllc | Hospitalist | 10820 Parkside Dr, Knoxville, TN 37934-1956 | 2018-04-19 |
| 1497251458 | Tennessee Em-i Medical Services PC | Physician Assistant | 10820 Parkside Dr, Knoxville, TN 37934-1956 | 2018-03-30 |
| 1477067395 | James Vincent Harold Hoover | Physical Therapy Assistant | 10820 Parkside Dr, Knoxville, TN 37934-1956 | 2017-11-30 |
| 1932639317 | Sarah Leandra Hood | Nurse Practitioner | 10820 Parkside Dr, Knoxville, TN 37934-1956 | 2017-06-18 |
| 1225408339 | Sparrow Emergency Physicians Pllc | Physician Assistant | 10820 Parkside Dr, Knoxville, TN 37934-1956 | 2015-10-01 |
| 1700253945 | Parkside Inpatient Services Pllc | Internal Medicine | 10820 Parkside Dr, Knoxville, TN 37934-1956 | 2015-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780905 | Knoxville Dentistry Group Pllc | Clinic/Center | 1119 Kingston Pike, Knoxville, TN 37934 | 2020-02-03 |
| 1073087714 | Farragut Modern Dentistry, PC | Dentist | 109 Campbell Station Rd., Farragut, TN 37934 | 2019-01-16 |
| 1669949764 | Cynthia Boger | Optometrist | 11289 Parkside Dr Spc 1108, Knoxville, TN 37934 | 2018-10-26 |
| 1306385927 | Lindsey A Kelley | Registered Nurse | 11217 West Point Drive, Suite 2, Knoxville, TN 37934 | 2017-02-15 |
| 1740736487 | Julie Noll | Occupational Therapy Assistant | 312 Rockwell Farm Lane, Knoxville, TN 37934 | 2016-09-01 |
| 1457719411 | Adrianne Whitelaw | Occupational Therapist | 10717 Deep Woods Lane, Knoxville, TN 37934 | 2016-02-05 |
| 1821486150 | Will Parrott | Physical Therapy Assistant | 917 Weatherly Hills Blvd, Knoxville, TN 37934 | 2015-01-09 |
| 1679988380 | Lutheran Medical Center | Health Maintenance Organization | 305 Dominick Pont, Knoxville, TN 37934 | 2014-06-23 |
| 1518396761 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 10930 Parkside Dr., Knoxville, TN 37934 | 2013-11-08 |
| 1770879090 | Meredith Tonks | Optometrist | 12744 Kingston Pike Ste 108, Knoxville, TN 37934 | 2011-06-24 |
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| 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 |
|---|---|---|---|---|
| 1407201882 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 6408 Papermill Drive, Suite 220, Knoxville, TN 37919-4858 | 2016-05-04 |
| 1366740425 | Richert Edgar Goyette | Internal Medicine | 1706 Alcott Manor Ln, Knoxville, TN 37922-8094 | 2011-03-14 |
| 1356585574 | Tennessee Cancer Specialists Pllc | Internal Medicine | 1415 Old Weisgarber Road, Suite 200, Knoxville, TN 37909 | 2009-05-01 |
| 1568510717 | Tennessee Cancer Specialists Pllc | Internal Medicine | 6307 Lonas Dr, Knoxville, TN 37909-2737 | 2007-01-06 |
| 1245387703 | Tennessee Cancer Specialists Pllc | Internal Medicine | 18820 Parkside Drive, Tennova Turkey Creek, Knoxville, TN 37934-1956 | 2007-01-05 |
| 1871693150 | Wahid Hanna, Md, PC | Internal Medicine | 1926 Alcoa Hwy Ste 380 Bldg F, Knoxville, TN 37920-1526 | 2006-09-25 |
| 1841228871 | Tennessee Cancer Specialists Pllc | Internal Medicine | 900 E Hill Ave, Suite 230, Knoxville, TN 37915-2566 | 2006-06-29 |
| 1679543805 | Richard T Grapski | Internal Medicine | 1915 White Avenue, Knoxville, TN 37916 | 2006-01-23 |
| 1619947876 | Daniel M Ibach | Internal Medicine | 2607 Kingston Pike Ste 100, Knoxville, TN 37919-3343 | 2006-01-23 |
| 1588664627 | Raymond Brig | Internal Medicine | 1400 Dowell Springs Road, Suite 200, Knoxville, TN 37909-1292 | 2005-07-29 |
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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.