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TENNESSEE ONCOLOGY PLLC NPI 1801970454


NPI Information

NPI: 1801970454
Provider Name: TENNESSEE ONCOLOGY PLLC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 44D1029009

Address:
103 NATCHEZ PARK DRIVE
STE 103
DICKSON, TN
ZIP 37055
Phone: (615) 740-7025
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TENNESSEE ONCOLOGY PLLC is a hematology and oncology internal medicine in Dickson, TN. The provider is 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. TENNESSEE ONCOLOGY PLLC NPI is 1801970454. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

103 NATCHEZ PARK DRIVE
STE 103
DICKSON, TN
ZIP 37055-080
Phone: (615) 740-7025

The provider's authorized official is Pattie Douglas .
The authorized official title is Payer Relations Manager and has the following contact phone number (615) 514-6876.

The CLIA number assigned to this NPI record is 44D1029009 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 6/25/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q028563MEDICAIDTENNESSEE
20761370033MEDICARE NSCTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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