Provider Demographics
NPI:1033312038
Name:THOMPSON ONCOLOGY GROUP
Entity Type:Organization
Organization Name:THOMPSON ONCOLOGY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:Y
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-588-1847
Mailing Address - Street 1:PO BOX 59076
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37950-9076
Mailing Address - Country:US
Mailing Address - Phone:865-588-1847
Mailing Address - Fax:865-588-7390
Practice Address - Street 1:1451 DOWELL SPRINGS BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2450
Practice Address - Country:US
Practice Address - Phone:865-588-1847
Practice Address - Fax:865-588-7390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3187201Medicaid
TN3708228Medicaid
TN3009801Medicaid
TN3708228Medicaid
TN3187201Medicare ID - Type UnspecifiedALLAN M. GROSSMAN, M.D
TNA97412Medicare UPIN
TNB04269Medicare UPIN
TN3009801Medicaid