DR. HAGOP YOUSSOUFIAN (NPI# 1801911334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801911334 |
| Entity Type | Individual |
| Full Name | DR. HAGOP YOUSSOUFIAN |
| Credential | M.D. |
| Practice Address |
150 E Ponce De Leon Ave Suite 120 Decatur GA 30030-2543 |
| Practice Telephone | 8009985859 |
| Practice Fax Number | 4043787460 |
| Mailing Telephone | 8009985859 |
| Mailing Fax Number | 4043787460 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
K6424 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
150 E PONCE DE LEON AVE SUITE 120 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710086392 | Louise Cording, Ph.d., P.C. | Psychologist | 150 E Ponce De Leon Ave, Suite 360, Decatur, GA 30030-2543 | 2006-09-21 |
| 1073852950 | Joanna Colrain | Counselor | 150 E Ponce De Leon Ave, Suite 350, Decatur, GA 30030-2543 | 2013-02-12 |
| 1457603680 | Avery Jay Beard | Psychologist | 150 E Ponce De Leon Ave, Suite 255, Decatur, GA 30030-2543 | 2012-10-11 |
| 1356672331 | Diana Holberg Gordick | Psychologist | 150 E Ponce De Leon Ave, Suite 350, Decatur, GA 30030-2543 | 2010-01-15 |
| 1750523056 | Total Sleep Diagnostics, Inc. | Clinic/Center | 150 E Ponce De Leon Ave, Ste 235, Decatur, GA 30030-2543 | 2009-04-01 |
| 1326226861 | Rosalind M Mance | Psychiatry & Neurology | 150 E Ponce De Leon Ave, Suite 350, Decatur, GA 30030-2543 | 2008-02-06 |
| 1720200504 | Haig Yardumian | Internal Medicine | 150 E Ponce De Leon Ave, Suite 120, Decatur, GA 30030-2543 | 2007-05-02 |
| 1407989742 | Kshama Jawalekar | Radiology | 150 E Ponce De Leon Ave, Suite 120, Decatur, GA 30030-2543 | 2007-03-14 |
| 1598825796 | Joel Carter | Radiology | 150 E Ponce De Leon Ave, Suite 220, Decatur, GA 30030-2543 | 2006-12-11 |
| 1811067838 | Frederick Augustine Deigert | Radiology | 150 E Ponce De Leon Ave, Suite 220, Decatur, GA 30030-2543 | 2006-11-08 |
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|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023025434 | Naveen Thomas Lobo | Internal Medicine | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2006-08-01 |
| 1992774459 | James L Wade IIi | Internal Medicine | 210 W. Mckinley Ave, Ste 1, Decatur, IL 62526 | 2006-03-16 |
| 1861797920 | Cancer Care Center PC | Internal Medicine | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2011-01-21 |
| 1720200504 | Haig Yardumian | Internal Medicine | 150 E Ponce De Leon Ave, Suite 120, Decatur, GA 30030-2543 | 2007-05-02 |
| 1245309541 | Emiliana Sandiego | Internal Medicine | 150 E Ponce De Leon Ave, Suite 220, Decatur, GA 30030-2543 | 2006-11-08 |
| 1073604245 | Zeba Aziz | Internal Medicine | 150 E Ponce De Leon Ave, Suite 220, Decatur, GA 30030-2543 | 2006-09-27 |
| 1790748119 | Edward C Elliott II | Internal Medicine | 210 W. Mckinley Ave, Ste 1, Decatur, IL 62526 | 2006-04-07 |
| 1326007782 | Mario R Velasco | Internal Medicine | 210 W Mckinley Ave, Suite 1, Decatur, IL 62526 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728326 | Tmg Northwest Georgia Oncology Center Inc | Internal Medicine | 705 Dallas Hwy Ste 204, Villa Rica, GA 30180-1243 | 2020-04-15 |
| 1710515184 | Tanner Oncology Services Inc | Internal Medicine | 157 Clinic Ave Ste 202, Carrollton, GA 30117-4454 | 2020-03-31 |
| 1396152922 | Dawn Diane Hassinger | Internal Medicine | 195 Mark Trl, Atlanta, GA 30328-2163 | 2014-07-15 |
| 1114247996 | John Heath West | Internal Medicine | 20 Liberty Creek Dr, Savannah, GA 31406-3224 | 2010-06-03 |
| 1871546200 | Ronald Douglas Wichman | Internal Medicine | 115 Eagle Spring Dr, Suite A, Stockbridge, GA 30281-6328 | 2006-05-18 |
| 1346209764 | South Atlanta Hematology Oncology PC | Internal Medicine | 253 Upper Riverdale Rd Sw Ste C, Riverdale, GA 30274-4945 | 2006-03-23 |
| 1396735908 | Antonio Moran Jr. | Internal Medicine | 1111 Glynco Pkwy Ste 35, Brunswick, GA 31525-7930 | 2005-10-25 |
| 1114922267 | Nancy W Stead | Internal Medicine | 1848 Blue Ridge Dr Ne, Gainesville, GA 30501-1210 | 2005-06-16 |
| 1871055434 | North Atlanta Oncology Services LLC | Internal Medicine | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2019-04-03 |
| 1972065852 | Gwinnett Hospital System Tccc LLC | Internal Medicine | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2019-04-01 |
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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.