CANCER CARE PAVILION INC (NPI# 1023103165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023103165 |
Entity Type | Organization |
Organization Name | CANCER CARE PAVILION INC |
Other Organization Name | NANCY N. AND J.C. LEWIS CANCER AND RESEARCH PAVILION |
Practice Address |
225 Candler Dr. Ste 224 Savannah GA 31405 |
Practice Telephone | 9128195704 |
Practice Fax Number | 9128195705 |
Mailing Telephone | 9128195704 |
Mailing Fax Number | 9128195705 |
Enumeration Date | 2006-10-04 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. PAUL P HINCHEY (CEO) |
Authorized Official Telephone | 9128195294 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
056842 | GA | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Nancy N. and J.C. Lewis Cancer and Research Pavilion | Doing Business As Name - Organization |
Street Address |
225 CANDLER DR. STE 224 |
City | SAVANNAH |
State | GA |
Zip Code | 31405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
Find all providers in zip 31405 |
Taxonomy Code | 2086X0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Oncology |
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508144981 | Provident Health Surgical Associates | Surgery | 4700 Waters Ave, Suite 403, Savannah, GA 31404-6220 | 2011-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750540233 | Shishir Kumar Maithel | Surgery | 101w Ponce De Leon Ave, Decatur, GA 30030-2528 | 2008-06-09 |
1851580575 | West Augusta Surgical Associates | Surgery | 2320 Wrightsboro Rd, Augusta, GA 30904-6233 | 2007-10-18 |
1942498050 | The Breast Care Team, PC | Surgery | 130 Riverstone Ter, Suite 101, Canton, GA 30114-1702 | 2007-10-15 |
1902003684 | Nicole Kounalakis | Surgery | 980 Johnson Fy Rd Ne Ste 940a, Atlanta, GA 30342-1609 | 2007-06-27 |
1093924409 | Taranjit Kaur Arora | Surgery | 1120 15th St Ste Bi1056, Augusta, GA 30912-0001 | 2007-05-22 |
1457401630 | Anita Johnson | Surgery | 120 N Medical Pkwy Bldg 100, Suite 201, Woodstock, GA 30189-7062 | 2007-01-11 |
1780746289 | Cletus Anthony Arciero | Surgery | 1364 Clifton Road, Ne, Emory University Hospital, Atlanta, GA 30322 | 2006-12-14 |
1083634067 | William Wood | Surgery | 1327 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2006-07-20 |
1215932041 | Arnold Michael Conforti | Surgery | 800 1st St Ste 240, Macon, GA 31201-8300 | 2005-06-17 |
1497364749 | Bariatric and Minimally Invasive Surgical Institute | Surgery | 1105 Upper Hembree Rd Ste A, Roswell, GA 30076-0912 | 2020-07-23 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.