NORTHWEST GEORGIA ONCOLOGY CENTERS, P.C


Address: 340 Kennestone Hospital Blvd, Suite 200, Marietta, GA 30060-1152
Phone: 7702815115

NORTHWEST GEORGIA ONCOLOGY CENTERS, P.C (NPI# 1821275629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821275629
Entity Type Organization
Organization Name NORTHWEST GEORGIA ONCOLOGY CENTERS, P.C
Practice Address 340 Kennestone Hospital Blvd
Suite 200
Marietta
GA 30060-1152
Mailing Address 531 Roselane St Nw
Suite 710
Marietta
GA 30060-6913
Practice Telephone 7702815115
Practice Fax Number 6785817111
Enumeration Date 2008-01-24
Last Update Date 2008-02-26
Authorized Official Name DR. BRUCE J GOULD (MEDICAL DIRECTOR)
Authorized Official Telephone 7702815000
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name NORTHWEST GEORGIA ONCOLOGY CENTERS,P.C

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
N 3336S0011X Pharmacy
Specialization: Specialty Pharmacy
Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PHRE009445 GA Suppliers

Office Location

Street Address 340 KENNESTONE HOSPITAL BLVD
SUITE 200
City MARIETTA
State GA
Zip Code 30060-1152

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790789188 Robert C Hermann Specialist 340 Kennestone Hospital Blvd, Ste 200, Marietta, GA 30060-1121 2005-06-13
1962943209 Paul Hughes Pharmacist 340 Kennestone Hospital Blvd, Marietta, GA 30060-1152 2017-03-20
1457709768 Sara A Herrin Nurse Practitioner 340 Kennestone Hospital Blvd, Suite 200, Marietta, GA 30060-1173 2016-05-26
1457711715 Marian Wilim Nurse Practitioner 340 Kennestone Hospital Blvd, Ll20, Marietta, GA 30060-1152 2016-02-29
1215299953 Elizabeth K Mcneill Physician Assistant 340 Kennestone Hospital Blvd, Suite 200, Marietta, GA 30060-1152 2012-06-08
1427321124 Shuang Yin Zhang Internal Medicine 340 Kennestone Hospital Blvd, Suite 200, Marietta, GA 30060-1173 2012-02-12
1659694867 Allison Michelle Berard Physician Assistant 340 Kennestone Hospital Blvd, Suite Ll20, Marietta, GA 30060-3006 2010-03-03
1568632081 Danielle L Roberts Physician Assistant 340 Kennestone Hospital Blvd, Suite 200, Marietta, GA 30060-1152 2008-03-12
1477749836 Sarah C. Cooper Nurse Practitioner 340 Kennestone Hospital Blvd, Suite Ll20, Marietta, GA 30060-1152 2007-09-19
1700914751 Northwest Georgia Oncology Centers, PC Durable Medical Equipment & Medical Supplies 340 Kennestone Hospital Blvd, Ste 200, Marietta, GA 30060-1152 2007-03-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144845116 Legacy Center for Spinal Surgery, LLC Neurological Surgery 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 2020-06-15
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558879403 Marga Pharmacy, Inc Pharmacy 2986 Johnson Ferry Rd Ste 116, Marietta, GA 30062-8354 2018-01-12
1457870933 Concord, Inc Pharmacy 4800 Olde Towne Pkwy Ste 120, Marietta, GA 30068-4378 2017-09-15
1952740276 Beta Discount Pharmacy & Health Services, LLC Pharmacy 776 Sandtown Rd Sw, Marietta, GA 30008 2013-06-19
1932477817 Artem Pharmaceutica LLC Pharmacy 595 Roswell St Ne Ste D, Marietta, GA 30060-2163 2011-12-07
1881757482 Ga Cvs Pharmacy LLC Pharmacy 4250 Roswell Rd Ne, Marietta, GA 30062 2006-12-18
1033271333 Georgia Cvs Pharmacy, L.L.C. Pharmacy 100 Piedmont Rd, Marietta, GA 30066-3636 2006-12-14
1235216003 Marietta Discount Pharmacy, Inc Pharmacy 300 S Highway 77, Marietta, OK 73448-3447 2006-11-01
1811094303 Georgia Cvs Pharmacy, L.L.C. Pharmacy 3905 Due West Nw Rd, Marietta, GA 30064 2006-09-19
1467556399 Georgia Cvs Pharmacy, L.L.C. Pharmacy 3930 Shallowford Rd, Marietta, GA 30062-5014 2006-09-12
1962505792 Georgia Cvs Pharmacy, L.L.C. Pharmacy 684 Cobb Pkwy N, Marietta, GA 30062-3323 2006-09-07
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Competitor

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City MARIETTA
Zip Code 30060

Improve Information

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Dataset Information

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.

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