MEDICARE: TENNESSEE ONCOLOGY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821341629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENNESSEE ONCOLOGY, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 440100
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37244-0100
Country	:	US
Telephone Number	:	615-329-0570
Fax Number	:

Provider Business Practice Location Address
First Line	:	5073 MAIN ST
Second Line	:	SUITE 210
City	:	SPRING HILL
State	:	TN
Zip	:	37174-2737
Country	:	US
Telephone Number	:	615-986-4102
Fax Number	:

Authorized Official
Title or Position	:	PAYER RELATIONS MANAGER
Name	:	PATTIE DOUGLAS
Credential	:
Telephone Number	:	615-514-6876

Provider Enumeration Date	:	10/18/2012
Last Update Date	:	07/06/2017

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