FAMILY CANCER CENTER, PLLC
NPI 1790790715
Internal Medicine - Hematology & Oncology in Dyersburg, TN

NPI Status: Active since July 29, 2006

Contact Information

440 WILKINSON DR
DYERSBURG, TN
ZIP 38024
Phone: (901) 379-0703
Fax: (901) 379-0532

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  • Organization
  • Internal Medicine
  • Hematology & Oncology

About FAMILY CANCER CENTER, PLLC

This page provides the complete NPI Profile along with additional information for Family Cancer Center, Pllc, an internist established in Dyersburg, Tennessee operating as a Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1790790715 assigned on July 2006. The practitioner's primary taxonomy code is 207RH0003X with license number MD0000015925 (TN). The provider is registered as an organization and their NPI record was last updated 15 years ago. Family Cancer Center, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is William K Walksh M.d. (Managing Physician)

NPI
1790790715
Provider Name
FAMILY CANCER CENTER, PLLC
Entity Type
Organization
Location Address
440 WILKINSON DR DYERSBURG, TN 38024
Location Phone
(901) 379-0703
Location Fax
(901) 379-0532
Mailing Address
P.O. BOX 5111 MEMPHIS, TN 38101
Mailing Phone
(901) 685-5655
Mailing Fax
(901) 379-0532
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-29-2006
Last Update Date
03-09-2011
Code Navigator

An internist like Family Cancer Center, Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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

Internal Medicine Hematology & Oncology

Taxonomy Code
207RH0003X
Type
Allopathic & Osteopathic Physicians
License No.
MD0000015925
License State
TN
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

015925 (TN)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM K WALKSH M.D.

Authorized Official Title
MANAGING PHYSICIAN
Authorized Official Phone
(901) 685-5655

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4035183OTHER (01)TNBCBS
135396002MEDICAID (05)AR 
=========OTHER (01)TNTAX ID/EIN
3913140007MEDICARE NSC (07)TN 
3723894MEDICARE PIN (08)TN 
3723894MEDICAID (05)TN 
CG9522OTHER (01)TNRRMCR

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NPI 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 1790790715, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
5
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 9 → 18 → 9 7 → 14 → 5 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 1 + 4 + 9 + 0 + 7 + 2 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1790790715.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Radiology (Radiation Oncology)
440 WILKINSON DR
DYERSBURG, TN 38024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790790715, enumerated as an "organization" on July 29, 2006.

The provider is located at 440 WILKINSON DR DYERSBURG, TN 38024 and the phone number is (901) 379-0703.

Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.