Provider Demographics
NPI:1528259363
Name:CUMBERLAND ONCOLOGY & HEMATOLOGY
Entity type:Organization
Organization Name:CUMBERLAND ONCOLOGY & HEMATOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:THORNTON
Authorized Official - Last Name:FOUST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-483-3377
Mailing Address - Street 1:102 VERMONT AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-6402
Mailing Address - Country:US
Mailing Address - Phone:865-483-3377
Mailing Address - Fax:865-483-3607
Practice Address - Street 1:102 VERMONT AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6402
Practice Address - Country:US
Practice Address - Phone:865-483-3377
Practice Address - Fax:865-483-3607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD011105207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3719998Medicaid
TNF26547Medicare UPIN
TNG94453Medicare UPIN
TNG12848Medicare UPIN
TN3719998Medicare PIN