Provider Demographics
NPI:1154459733
Name:COLUMBIA ONCOLOGY
Entity Type:Organization
Organization Name:COLUMBIA ONCOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:H
Authorized Official - Last Name:MESSENGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-381-3872
Mailing Address - Street 1:1222 TROTWOOD AVE
Mailing Address - Street 2:SUITE 603
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-6436
Mailing Address - Country:US
Mailing Address - Phone:931-381-3872
Mailing Address - Fax:931-381-3883
Practice Address - Street 1:1222 TROTWOOD AVE
Practice Address - Street 2:SUITE 603
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-6436
Practice Address - Country:US
Practice Address - Phone:931-381-3872
Practice Address - Fax:931-381-3883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3705450Medicare ID - Type Unspecified