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FAMILY CANCER CENTER PLLC NPI 1437163383


NPI Information

NPI: 1437163383
Provider Name: FAMILY CANCER CENTER, PLLC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
6005 PARK AVE
SUITE 1000-B
MEMPHIS, TN
ZIP 38119
Phone: (901) 685-5655
Get Directions

FAMILY CANCER CENTER, PLLC is a hematology and oncology internal medicine in Memphis, TN. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. FAMILY CANCER CENTER, PLLC NPI is 1437163383. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6005 PARK AVE
SUITE 1000-B
MEMPHIS, TN
ZIP 38119-225
Phone: (901) 685-5655
Fax: (901) 685-2590

The provider's authorized official is William K Walsh .
The authorized official title is Managing Physician and has the following contact phone number (901) 685-5655.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 3/9/2011.


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
1174400000XSpecialist19652TENNESSEENo
2207RH0003XInternal MedicineHematology & OncologyMD0000015925TENNESSEEYes

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
14035183OTHERTENNESSEEBCBS
23723894MEDICAIDTENNESSEE
3CG9522OTHERTENNESSEERRMCR
43913140001MEDICARE NSCTENNESSEE
5090015910MEDICAIDMISSISSIPPI
6135396002MEDICAIDARKANSAS
73913140002MEDICARE NSCTENNESSEE
83723894MEDICARE PINTENNESSEE

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

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