Healthcare Provider Details

I. General information

NPI: 1770538118
Provider Name (Legal Business Name): NASHVILLE ONCOLOGY ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 03/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2004 HAYES ST SUITE 720
NASHVILLE TN
37203-2646
US

IV. Provider business mailing address

2004 HAYES ST SUITE 720
NASHVILLE TN
37203-2646
US

V. Phone/Fax

Practice location:
  • Phone: 615-284-2310
  • Fax: 615-284-2385
Mailing address:
  • Phone: 615-284-2310
  • Fax: 615-284-2385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD18887
License Number StateTN

VIII. Authorized Official

Name: KARL M. ROGERS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 615-284-2310