NORTHWEST GEORGIA ONCOLOGY CENTERS, PC (NPI# 1992833941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992833941 |
| Entity Type | Organization |
| Organization Name | NORTHWEST GEORGIA ONCOLOGY CENTERS, PC |
| Practice Address |
15 Reinhardt College Pkwy Suite 110 Canton GA 30114-2493 |
| Mailing Address |
1700 Hospital South Dr Suite 300 Austell GA 30106-6810 |
| Practice Telephone | 7707207789 |
| Practice Fax Number | 7707207784 |
| Mailing Telephone | 7709442830 |
| Mailing Fax Number | 6785817170 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2012-12-04 |
| Authorized Official Name | DR. BRUCE J. GOULD (MD PHYSICIAN) |
| Authorized Official Telephone | 7702815100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 074178000 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | SUPPLIER NPI NUMBER (CANTON) | 1992833941 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154864841 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 2500 Hospital Boulevard, Suite 490, Roswell, GA 30076-4907 | 2016-11-29 |
| 1790951788 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 148 Bill Carruth Pkwy, Suite 260, Hiram, GA 30141-3754 | 2008-04-30 |
| 1700914926 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 200 Allen Memorial Dr, Ste 302-b, Bremen, GA 30110-2012 | 2007-03-01 |
| 1790813749 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 6002 Professional Pkwy, Ste 220, Douglasville, GA 30134-5600 | 2007-03-01 |
| 1124156310 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 157 Clinic Ave, Ste 101, Carrollton, GA 30117-4454 | 2007-03-01 |
| 1083742175 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 100 Market Place Blvd, Ste 200, Cartersville, GA 30121-8718 | 2007-03-01 |
| 1801924857 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 620 J L White Dr, Ste 100, Jasper, GA 30143-4896 | 2007-03-01 |
| 1700914751 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 340 Kennestone Hospital Blvd, Ste 200, Marietta, GA 30060-1152 | 2007-03-01 |
| 1619005667 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 705 Dallas Hwy, Ste 205, Villa Rica, GA 30180-1247 | 2007-03-01 |
| 1588792881 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 1700 Hospital South Dr, Suite 300, Austell, GA 30106-6810 | 2007-03-01 |
| Street Address |
15 REINHARDT COLLEGE PKWY SUITE 110 |
| City | CANTON |
| State | GA |
| Zip Code | 30114-2493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154329928 | Kirk B Laman | Internal Medicine | 15 Reinhardt College Pkwy, Suite 110, Canton, GA 30114-5257 | 2005-07-14 |
| 1710285226 | Resurgens, PC | Orthopaedic Surgery | 15 Reinhardt College Pkwy, Suite 102, Canton, GA 30114-5257 | 2011-03-08 |
| 1710159488 | Madiha Iqbal Khan | Internal Medicine | 15 Reinhardt College Pkwy, Suite 109, Canton, GA 30114 | 2008-04-02 |
| 1154336717 | Edward Dyckman | Internal Medicine | 15 Reinhardt College Pkwy, Suite 110, Canton, GA 30114-5257 | 2006-07-30 |
| 1285669739 | Anitra Simone Graves | Internal Medicine | 15 Reinhardt College Pkwy, Suite 108, Canton, GA 30114-5257 | 2006-07-12 |
| 1659320224 | Cherokee Lung & Sleep Specialists, P.C. | Internal Medicine | 15 Reinhardt College Pkwy, Suite 108, Canton, GA 30114-5257 | 2006-05-09 |
| 1962467860 | Sheldon Scott | Physical Therapist | 15 Reinhardt College Pkwy, Suite 102, Canton, GA 30114-5257 | 2006-04-20 |
| 1689635161 | Khizer Khurshid Ahmad | Pediatrics | 15 Reinhardt College Pkwy, Bldg 100 Suite 100, Canton, GA 30114 | 2006-04-01 |
| 1538120092 | Fitzroy Henry Graham | Pediatrics | 15 Reinhardt College Pkwy, Bldg 100 Suite 100, Canton, GA 30114 | 2006-03-31 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968693 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 723 E 5th St Ste 1, Canton, SD 57013-1870 | 2020-10-01 |
| 1740819077 | Horizon Medical Associates,inc | Durable Medical Equipment & Medical Supplies | 45 Dan Rd Ste 126, Canton, MA 02021-2860 | 2020-04-08 |
| 1770112021 | Northside Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 460 Northside Cherokee Blvd Ste 145, Canton, GA 30115-8016 | 2020-04-07 |
| 1063996593 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | 1600 S Canton Center Rd Ste 2200, Canton, MI 48188-6334 | 2018-09-20 |
| 1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
| 1639622533 | Soleo Health, Inc | Durable Medical Equipment & Medical Supplies | 5 Shawmut Rd, Canton, MA 02021-1408 | 2016-07-27 |
| 1518314699 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 624 Market Ave N Ste 140, Canton, OH 44702-1017 | 2016-05-19 |
| 1386022010 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 625 Cleveland Ave Nw Ste 301, Canton, OH 44702-1805 | 2015-05-14 |
| 1861887523 | Soleo Health Inc. | Durable Medical Equipment & Medical Supplies | 5 Shawmut Road, Canton, MA 02021-1408 | 2015-03-31 |
| 1114310299 | North Central Medical Resources Inc | Durable Medical Equipment & Medical Supplies | 2820 Tuscarawas St W, Canton, OH 44708-4641 | 2015-03-12 |
| 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.