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).
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 |
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 |
Street Address |
340 KENNESTONE HOSPITAL BLVD SUITE 200 |
City | MARIETTA |
State | GA |
Zip Code | 30060-1152 |
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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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 |
Find all providers in zip 30060 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
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] |
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 |
Find all providers in MARIETTA |
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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.