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CANCER OUTREACH ASSOCIATES OF TENNESSEE, P.C.
NPI 1962473405
Specialist in Johnson City, TN

Active since February 01, 2006
1 PROFESSIONAL PARK DR, MCPP #1, SUITE 18, JOHNSON CITY, TN 37604(423) 926-0063(423) 926-0073 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cancer Outreach Associates Of Tennessee, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANCER OUTREACH ASSOCIATES OF TENNESSEE, P.C. (NPI 1962473405) is a healthcare organization registered as a specialist in Johnson City, Tennessee and active in the NPI registry since February 2006. The organization lists Forrest Swan, President, as its authorized official.

NPPES Registry Identity

NPI1962473405
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCANCER OUTREACH ASSOCIATES OF TENNESSEE, P.C.
Location Address1 PROFESSIONAL PARK DR, MCPP #1, SUITE 18Johnson City, TN 37604-6587
Mailing Address104 Abingdon PlAbingdon, VA 24211-5197 · (276) 676-1860 · Fax (276) 628-2917
Phone(423) 926-0063
Fax(423) 926-0073
Organization SubpartNo
Authorized OfficialForrest SwanPresident · (276) 676-1860
Enumeration DateFebruary 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1962473405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TN · 28068
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1 PROFESSIONAL PARK DR, Johnson City, TN 37604
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA E DAVENPORT FNP
Nurse Practitioner (Family)
1 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 232-6900
KOYAMANGALATH KRISHNAN MD
Internal Medicine (Medical Oncology)
1 PROFESSIONAL PARK DR, STE 21
JOHNSON CITY, TN 37604
Washington County (423) 232-6900
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine (Medical Oncology)
1 PROFESSIONAL PARK DR, STE 21
JOHNSON CITY, TN 37604
Washington County (423) 232-6900
MRS. MELANIE R. HARRISON PA-C
Physician Assistant (Surgical)
1 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 946-4163
TSERING DOLKAR MD
Student in an Organized Health Care Education/Training Program
1 PROFESSIONAL PARK DR
JOHNSON CITY, TN 37604
Washington County (929) 575-9829
NANCY G. BARBARITO M.D.
Family Medicine
1 PROFESSIONAL PARK DR, STE 21
JOHNSON CITY, TN 37604
Washington County (423) 926-5111
CARMEN W GLEZER NP
Nurse Practitioner
1 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 928-5111
MARY ANN CASH NP
Nurse Practitioner
1 PROFESSIONAL PARK DR, SUITE 18
JOHNSON CITY, TN 37604
Washington County (276) 676-1860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cancer Outreach Associates Of Tennessee, P.C.'s NPI number?

The NPI number for Cancer Outreach Associates Of Tennessee, P.C. is 1962473405. It was assigned to this organization in the NPPES registry on February 1, 2006.

Where is Cancer Outreach Associates Of Tennessee, P.C. located?

Cancer Outreach Associates Of Tennessee, P.C. is located at 1 Professional Park Dr Mcpp #1, Suite 18, Johnson City, TN 37604. The listed phone number is (423) 926-0063.

What is Cancer Outreach Associates Of Tennessee, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Cancer Outreach Associates Of Tennessee, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.