ONCOLOGY CONSULTANTS PC NPI 1063509354

NPI Information

  • NPI: 1063509354
  • Provider Name: ONCOLOGY CONSULTANTS PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 708 W FOREST AVE
    RADIATION ONCOLOGY DEPT
    JACKSON, TN
    ZIP 38301
  • Phone: (731) 425-6250

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NPI Details

ONCOLOGY CONSULTANTS PC is a specialist in Jackson, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ONCOLOGY CONSULTANTS PC NPI is 1063509354. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

708 W FOREST AVE
RADIATION ONCOLOGY DEPT
JACKSON, TN
ZIP 38301-901
Phone: (731) 425-6250
Fax: (731) 425-6858

The provider's authorized official is Jeffrey J Kovalic .
The authorized official title is President and has the following contact phone number (731) 425-6250.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 8/22/2020.

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
1174400000XSpecialist024422TENNESSEEYes

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
13073988MEDICAIDTENNESSEE

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: 11/21/2025

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