TENNESSEE CANCER SPECIALISTS (NPI# 1801168562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801168562 |
| Entity Type | Organization |
| Organization Name | TENNESSEE CANCER SPECIALISTS |
| Practice Address |
2800 Westside Dr Nw Sky Ridge Medical Center West Campus Cleveland TN 37312-3501 |
| Mailing Address |
Po Box 10988 Knoxville TN 37939-0988 |
| Practice Telephone | 4233390300 |
| Practice Fax Number | 4234725687 |
| Mailing Telephone | 8658620998 |
| Mailing Fax Number | 8655441861 |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |
| 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 |
|---|---|---|---|---|
| 1316410335 | Tennessee Cancer Specialists | Internal Medicine | 1301 Sunset Dr Ste 3, Johnson City, TN 37604-7906 | 2019-01-03 |
| 1023458403 | Tennessee Cancer Specialists | Internal Medicine | 2525 Desales Avenue, Chattanooga, TN 37414-1102 | 2013-06-28 |
| 1720335847 | Tennessee Cancer Specialists | Internal Medicine | 137 25th St Ne, Novamed Surgery Center of Cleveland, Cleveland, TN 37311-3944 | 2012-08-08 |
| 1841420197 | Tennessee Cancer Specialists | Internal Medicine | 266 Joule St, Alcoa, TN 37701-2422 | 2009-07-21 |
| 1831272020 | Tennessee Cancer Specialists | Non-Pharmacy Dispensing Site | 101 E Blount Ave, Ste 610, Knoxville, TN 37920-1632 | 2006-10-23 |
| 1689757866 | Tennessee Cancer Specialists | Non-Pharmacy Dispensing Site | 9430 Parkwest Blvd, Ste 120, Knoxville, TN 37923 | 2006-10-23 |
| 1013090208 | Tennessee Cancer Specialists | Non-Pharmacy Dispensing Site | 1415 Old Weisgarber Rd, Ste 200, Knoxville, TN 37909-1327 | 2006-10-23 |
| 1922181114 | Tennessee Cancer Specialists | Non-Pharmacy Dispensing Site | 7551 Dannaher Way, Powell, TN 37849-4029 | 2006-10-23 |
| 1538175120 | Tennessee Cancer Specialists | Internal Medicine | 1031 W Madison Ave, Athens, TN 37303-3498 | 2006-08-01 |
| Street Address |
2800 WESTSIDE DR NW SKY RIDGE MEDICAL CENTER WEST CAMPUS |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37312-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487651824 | Jonathan David Mcallister II | Internal Medicine | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2005-06-30 |
| 1669942769 | Adrianna Payne Sifford | Counselor | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2018-11-30 |
| 1851717094 | Chattanooga Psychiatry Clinic Pllc | Psychiatry & Neurology | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2014-03-12 |
| 1376723379 | Cleveland Tennessee Hospital Company LLC | Internal Medicine | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2007-11-07 |
| 1851595300 | Internal Medicine & Wound Consultants, Inc | Internal Medicine | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2007-06-11 |
| 1033227608 | Community Anesthesia, PC | Anesthesiology | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-08-25 |
| 1679585798 | Mohsin Ali | Psychiatry & Neurology | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-08-13 |
| 1023048030 | Diagnostic Radiology of Cleveland, PC | Radiology | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-07-04 |
| 1831160753 | Cleveland Tennessee Hospital Company LLC | Psychiatric Unit | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-01-30 |
| 1255302006 | National Healthcare of Cleveland Nc | Medicare Defined Swing Bed Unit | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
| 1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
| 1053975243 | Christian Joy Mcgirt | Counselor | 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 | 2019-04-24 |
| 1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
| 1508342221 | Andre L James | Case Manager/Care Coordinator | 2600 Executive Drive, Cleveland, TN 37312 | 2018-07-16 |
| 1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
| 1669992285 | Nurseprofessionals | Licensed Practical Nurse | 2901 Peerless Road, Cleveland, TN 37312 | 2017-06-24 |
| 1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
| Find all providers in zip 37312 | ||||
| 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 |
|---|---|---|---|---|
| 1942572862 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 2305 Chambliss Ave, Sw, Sky Ridge Medical Center Main, Cleveland, TN 37311-3899 | 2012-02-08 |
| 1629211982 | David James Seastone | Internal Medicine | Ccf Deparment of Hematology Oncology, 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2009-04-15 |
| 1922254937 | Aaron T Gerds | Internal Medicine | 9500 Euclid Ave R35, Cleveland, OH 44195 | 2008-08-09 |
| 1366637563 | An L Tran | Internal Medicine | 2390 N. Ocoee St., Cleveland, TN 37311 | 2007-09-11 |
| 1962510826 | Alberto Jose Montero | Internal Medicine | Taussig Cancer Institute 9500 Euclid Ave, R35, Cleveland, OH 44195-1002 | 2006-08-29 |
| 1942206388 | Paul F Hergenroeder | Internal Medicine | 17876 Saint Clair Ave, Cleveland, OH 44110 | 2005-06-21 |
| 1588669113 | Donald Eicher | Internal Medicine | 18200 Lorain Ave, Moll Pavilion, Cleveland, OH 44111-5605 | 2005-06-20 |
| 1437152691 | Sylvia L Krueger | Internal Medicine | 2390 N Ocoee St, Cleveland, TN 37311-3850 | 2005-05-23 |
| 1033764600 | Heather R Skomski | Internal Medicine | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2019-08-09 |
| 1902269137 | Amanda Nizam | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-3201 | 2016-04-04 |
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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.