THE BREAST CARE TEAM , PC (NPI# 1942498050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942498050 |
Entity Type | Organization |
Organization Name | THE BREAST CARE TEAM , PC |
Practice Address |
130 Riverstone Ter Suite 101 Canton GA 30114-1702 |
Practice Telephone | 7707046977 |
Practice Fax Number | 7707046169 |
Mailing Telephone | 7707046977 |
Mailing Fax Number | 7707046169 |
Enumeration Date | 2007-10-15 |
Last Update Date | 2007-12-19 |
Authorized Official Name | DR. ANITA T JOHNSON (PHYSICIAN/OWNER) |
Authorized Official Telephone | 7707046977 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
053464 | GA | Allopathic & Osteopathic Physicians |
Street Address |
130 RIVERSTONE TER SUITE 101 |
City | CANTON |
State | GA |
Zip Code | 30114-1702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
Find all providers in zip 30114 |
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 |
---|---|---|---|---|
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 |
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 |
1023103165 | Cancer Care Pavilion Inc | Surgery | 225 Candler Dr., Ste 224, Savannah, GA 31405 | 2006-10-04 |
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 |
Find all providers with the same taxonomy |
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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.