BLOUNT RADIATION ONCOLOGY ASSOCIATES, PLLC (NPI# 1992331433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992331433 |
| Entity Type | Organization |
| Organization Name | BLOUNT RADIATION ONCOLOGY ASSOCIATES, PLLC |
| Practice Address |
907 E Lamar Alexander Pkwy Maryville TN 37804-5015 |
| Mailing Address |
Po Box 4156 Maryville TN 37802-4156 |
| Practice Telephone | 8659775534 |
| Practice Fax Number | 8659812154 |
| Mailing Telephone | 8652731752 |
| Mailing Fax Number | 8652731755 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | MAIKEL BOTROS (OWNER) |
| Authorized Official Telephone | 4238380077 |
| 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 |
| Street Address |
907 E LAMAR ALEXANDER PKWY |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-5015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023004363 | Blount Memorial Hospital, Inc. | Home Infusion | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2005-09-22 |
| 1023617842 | Katherine Jeanne Talmont | Radiology | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2020-10-22 |
| 1639791643 | Susie Danielle Clerge | Nurse Practitioner | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5016 | 2020-05-13 |
| 1679122071 | Jody M Hinton | Nurse Practitioner | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2019-09-09 |
| 1750936076 | Danielle Stephanie Vittatoe | Registered Nurse | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5016 | 2019-08-04 |
| 1962907709 | John-michael Eric Galbraith | Physician Assistant | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2018-03-26 |
| 1134622418 | Kelli Morrison | Nurse Practitioner | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2018-03-13 |
| 1205345378 | Margaret C Saunders | Nurse Practitioner | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2017-09-21 |
| 1023532215 | Dalya Tobea Frank | Nurse Practitioner | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2017-07-28 |
| 1760905855 | Coleen Michele Spotts | Nurse Anesthetist, Certified Registered | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2017-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| 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 |
|---|---|---|---|---|
| 1437289063 | Mohamed Megahy M.d. Ltd. | Radiology | 6836 State Route 162, Maryville, IL 62062-8500 | 2007-03-06 |
| 1164712394 | Maikel Elia Botros | Radiology | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2011-04-08 |
| 1619094513 | Jaymeson Scott Stroud | Radiology | 6836 State Route 162, Maryville, IL 62062-8500 | 2007-03-23 |
| 1881742641 | Albert M Petty | Radiology | 907 E Lamar Alexander Pkwy, Radiation Therapy Department, Maryville, TN 37804-5015 | 2007-01-08 |
| 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 |
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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.