EAST TENNESSEE ONCOLOGY PARTNERS, LLC
NPI 1164606968
Radiology - Radiation Oncology in Johnson City, TN
NPI Status: Active since December 28, 2007
Contact Information
400 N STATE OF FRANKLIN RD
CANCER TREATMENT CENTER
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-6797
Fax: (423) 431-6060
NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: July 12, 2026.
- Organization
- Radiology
- Radiation Oncology
- CLIA Number: 44D0659180
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 08-02-2026
About EAST TENNESSEE ONCOLOGY PARTNERS, LLC
This page provides the complete NPI Profile along with additional information for East Tennessee Oncology Partners, Llc, a provider established in Johnson City, Tennessee operating as a Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1164606968 assigned on December 2007. The practitioner's primary taxonomy code is 2085R0001X with license number MD36692 (TN). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Raleigh Green M.b.a. (Business Manager)
- NPI
- 1164606968
- Provider Name
- EAST TENNESSEE ONCOLOGY PARTNERS, LLC
- Entity Type
- Organization
- Location Address
- 400 N STATE OF FRANKLIN RD CANCER TREATMENT CENTER JOHNSON CITY, TN 37604
- Location Phone
- (423) 431-6797
- Location Fax
- (423) 431-6060
- Mailing Address
- PO BOX 639 MOUNTAIN HOME, TN 37684
- Mailing Phone
- (423) 431-6197
- Mailing Fax
- (423) 431-6060
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-28-2007
- Last Update Date
- 12-28-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Radiation Oncology
- Taxonomy Code
- 2085R0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD36692
- License State
- TN
- Taxonomy Description
- A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D0659180
- Facility Type
- Independent
- Certificate Effective Date
- August 03, 2024
- Certificate Expiration Date
- August 02, 2026
- Laboratory Director
- DR. JERALD E. MULLERSMAN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to East Tennessee Oncology Partners, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164606968, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164606968, enumerated as an "organization" on December 28, 2007.
The provider is located at 400 N STATE OF FRANKLIN RD CANCER TREATMENT CENTER JOHNSON CITY, TN 37604 and the phone number is (423) 431-6797.
Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.
