UNIVERSITY CANCER & BLOOD CENTER, LLC (NPI# 1346343761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346343761 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY CANCER & BLOOD CENTER, LLC |
| Practice Address |
3320 Old Jefferson Road Bldg 700 Athens GA 30607 |
| Practice Telephone | 7063532990 |
| Practice Fax Number | 7063532992 |
| Mailing Telephone | 7063532990 |
| Mailing Fax Number | 7063532992 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2014-01-27 |
| Authorized Official Name | MRS. LORETTA LYNN GOODSON (ADMINISTRATOR) |
| Authorized Official Telephone | 7063535016 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376682849 | University Cancer & Blood Center, LLC | Pharmacy | 3320 Old Jefferson Rd, Bldg 700a, Athens, GA 30607-1465 | 2007-02-05 |
| Street Address |
3320 OLD JEFFERSON ROAD BLDG 700 |
| City | ATHENS |
| State | GA |
| Zip Code | 30607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669473245 | Angela G Stiles | Internal Medicine | 3320 Old Jefferson Road, Bldg 200 Ste A, Athens, GA 30607 | 2005-08-09 |
| 1982954921 | Whitney Knowlton | Physician Assistant | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2012-09-18 |
| 1225232531 | Asif Mian Qadri | Internal Medicine | 3320 Old Jefferson Road, Bldg. 400, Athens, GA 30607-1463 | 2007-06-12 |
| 1881794519 | Clyde Edwin Pittman | Plastic Surgery | 3320 Old Jefferson Road, Bldg 100, Athens, GA 30607 | 2006-09-23 |
| 1871548024 | Milos Tucakovic | Internal Medicine | 3320 Old Jefferson Road, Bldg 200 Ste A, Athens, GA 30607 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972850055 | Junaid Nasir | Internal Medicine | 5105 Jefferson Rd Ste B, Athens, GA 30607 | 2012-08-08 |
| 1942588918 | Gustavo Figueiredo Marcondes Westin | Internal Medicine | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2011-07-25 |
| 1124164421 | Martin John Simmons | Dentist | 3380 Old Jefferson Road, Athens, GA 30607 | 2007-01-30 |
| 1518063338 | The Center for Plastic & Reconstructive Surgery, P.C. | Clinic/Center | 3320 Old Jefferson Rd., Building 100, Athens, GA 30607 | 2006-09-16 |
| 1730173352 | Mohan N Iyer | Ophthalmology | 2705 Jefferson Rd., Athens, GA 30607 | 2005-09-09 |
| 1326691171 | Teresa Rosser | Nurse Practitioner | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2019-07-22 |
| 1124501184 | Anna Cauthen Mcfather | Physician Assistant | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-09-14 |
| 1013498849 | Mary Rougeau Browning | Physician Assistant | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-08-29 |
| 1073092334 | Katelyn Taylor Gillespie | Nurse Practitioner | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-08-08 |
| 1801261821 | Koren Raymond | Social Worker | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2015-12-02 |
| Find all providers in zip 30607 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942588918 | Gustavo Figueiredo Marcondes Westin | Internal Medicine | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2011-07-25 |
| 1548410400 | Ali M. Sayed | Internal Medicine | 125 King Ave Ste 200, Athens, GA 30606-6710 | 2008-09-26 |
| 1306005798 | Shawn Tai | Internal Medicine | 115 Medical Cir Ste 106, Athens, TX 75751 | 2008-06-02 |
| 1790854255 | Southeast Cancer Network, Inc | Internal Medicine | 22281 Us Highway 72, Ste B, Athens, AL 35613-2600 | 2006-11-07 |
| 1871587113 | Priya Rudolph | Internal Medicine | 125 King Ave, Suite 200, Athens, GA 30606-6734 | 2005-09-01 |
| 1528451978 | Athens Regional University Cancer Center, LLC | Internal Medicine | 3320 Old Jefferson Rd, Building 700, Athens, GA 30607-1400 | 2015-03-10 |
| 1265640247 | Georgia Cancer Specialists I PC | Internal Medicine | 125 King Ave, Suite 200, Athens, GA 30606-6734 | 2007-05-21 |
| 1235356247 | Frederick Lee Flynt Jr. | Internal Medicine | 3320 Old Jefferson Rd, Bldg 700, Athens, GA 30607-1400 | 2007-04-19 |
| 1750419487 | Ranjana Satyamurthy Bhargava | Internal Medicine | 125 King Ave, Suite 200, Athens, GA 30606-6734 | 2007-03-02 |
| 1891843819 | Tennessee Cancer Specialists Pllc | Internal Medicine | 1114 W Madison Ave, Athens Regional Medical Center, Athens, TN 37303-4150 | 2007-01-08 |
| Find all providers in ATHENS | ||||
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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.