ADVANCED UROLOGY INSTITUTE OF GEORGIA PC (NPI# 1942820576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942820576 |
| Entity Type | Organization |
| Organization Name | ADVANCED UROLOGY INSTITUTE OF GEORGIA PC |
| Practice Address |
2205 Riverstone Blvd Ste 101 Canton GA 30114-5250 |
| Mailing Address |
1557 Janmar Rd Snellville GA 30078-5686 |
| Practice Telephone | 6783448900 |
| Practice Fax Number | 6786665201 |
| Mailing Telephone | 6783448900 |
| Mailing Fax Number | 6786665201 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | JITESH VINOD PATEL (PRESIDENT) |
| Authorized Official Telephone | 6783448900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Advanced Urology Institute of Georgia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770104473 | Advanced Urology Institute of Georgia PC | Urology | 601 Broad St Se Ste B, Gainesville, GA 30501-3718 | 2020-05-04 |
| 1457997686 | Advanced Urology Institute of Georgia PC | Urology | 1800 Peachtree St Nw Ste 700, Atlanta, GA 30309-2511 | 2019-11-22 |
| Street Address |
2205 RIVERSTONE BLVD STE 101 |
| City | CANTON |
| State | GA |
| Zip Code | 30114-5250 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093369795 | Georgia Urology, Pa | Urology | 470 Northside Cherokee Blvd Ste 210, Canton, GA 30115-8029 | 2019-07-31 |
| 1447592902 | Wesley Warren Ludwig | Urology | 145 Riverstone Ter Ste 101, Canton, GA 30114-5327 | 2013-03-22 |
| 1982712899 | Jack Ross Baker | Urology | 4590 Dressler Road Nw, Canton, OH 44718-2546 | 2006-08-29 |
| 1538277710 | Carl C Capelouto | Urology | 470 Northside Cherokee Blvd Ste 201, Canton, GA 30115-8029 | 2006-08-28 |
| 1144220807 | Steven E. Ochs | Urology | 1330 Mercy Dr. Nw, Suite 510, Canton, OH 44708 | 2005-07-26 |
| 1063410611 | Anthony Patrick Bertin | Urology | 4976 Tuscarawas St W, Canton, OH 44708-5057 | 2005-07-08 |
| 1063995264 | Katherine Anna Nixon | Urology | 2600 Tuscarawas St W Ste 400, Canton, OH 44708-4698 | 2018-09-13 |
| 1891227302 | Georgia Urology Pa | Urology | 470 Northside Cherokee Blvd Ste 201, Canton, GA 30115-8015 | 2017-04-03 |
| 1992147193 | Georgia Urology Pa | Urology | 320 Hospital Rd, Med Assoc of No Ga, Canton, GA 30114-2432 | 2013-07-29 |
| 1164795795 | Aultman Medical Group, Inc | Urology | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2012-02-13 |
| Find all providers in CANTON | ||||
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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.