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EAST TENNESSEE HEMATOLOGY/ONCOLOGY ASSOC P.C. NPI 1356446298


NPI Information

NPI: 1356446298
Provider Name: EAST TENNESSEE HEMATOLOGY/ONCOLOGY ASSOC P.C.
Classification: Clinic/Center - 261QX0200X
Entity Type: Organization

Specialization: Oncology

Address:
310 N STATE OF FRANKLIN RD
STE 401
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 926-3611
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EAST TENNESSEE HEMATOLOGY/ONCOLOGY ASSOC P.C. is an oncology clinic center in Johnson City, TN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. EAST TENNESSEE HEMATOLOGY/ONCOLOGY ASSOC P.C. NPI is 1356446298. The provider is registered as an organization entity type.

The provider's business location address is:

310 N STATE OF FRANKLIN RD
STE 401
JOHNSON CITY, TN
ZIP 37604-008
Phone: (423) 926-3611
Fax: (423) 926-3073

The provider's authorized official is William R Kincaid .
The authorized official title is President and has the following contact phone number (423) 926-3611.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 5/9/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies5883370001TENNESSEENo
2261QX0200XClinic/CenterOncologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13389201MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEGROUP MEDICARE ID
25883370001MEDICARE 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.