MARK NEAL HENDRIXSON MD NPI 1215336508

NPI Information

  • NPI: 1215336508
  • Provider Name: MARK NEAL HENDRIXSON MD
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: UPPER CUMBERLAND CANCER CARE
  • CLIA Number: 44D1064042
  • Address: 707 S MAIN ST
    CROSSVILLE, TN
    ZIP 38555
  • Phone: (931) 456-8435

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NPI Details

MARK NEAL HENDRIXSON MD is a specialist in Crossville, 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. MARK NEAL HENDRIXSON MD NPI is 1215336508. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Upper Cumberland Cancer Care.

The provider's business location address is:

707 S MAIN ST
CROSSVILLE, TN
ZIP 38555-011
Phone: (931) 456-8435
Fax: (931) 456-8496

The provider's authorized official is Mark Hendrixson .
The authorized official title is Owner and has the following contact phone number (931) 456-8435.

The CLIA number assigned to this NPI record is 44D1064042 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/22/2014 and was last updated on 6/26/2024.

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
1174400000XSpecialist021724TENNESSEEYes
2332900000XNon-Pharmacy Dispensing SiteNo

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: 3/30/2025

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