COLUMBUS GYNECOLOGY ONCOLOGY MANAGEMENT SERVICES, LLC (NPI# 1184051104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184051104 |
| Entity Type | Organization |
| Organization Name | COLUMBUS GYNECOLOGY ONCOLOGY MANAGEMENT SERVICES, LLC |
| Practice Address |
2300 Manchester Expy Ste C001 Columbus GA 31904-6877 |
| Mailing Address |
Po Box 8668 Columbus GA 31908-8668 |
| Practice Telephone | 7062434594 |
| Practice Fax Number | 7062434596 |
| Mailing Telephone | 7062434594 |
| Mailing Fax Number | 7062434596 |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2015-04-27 |
| Authorized Official Name | MR. GREG S. HEMBREE (CFO/SVP) |
| Authorized Official Telephone | 7063203751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003140383A | 05 | |
| AL | 154942 | 05 |
| Street Address |
2300 MANCHESTER EXPY STE C001 |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-6877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994403 | Sebastian O Hubbuch | Internal Medicine | 2300 Manchester Expy, Ste 1003, Columbus, GA 31904-6877 | 2005-06-28 |
| 1730615790 | Petra S Glover | Nurse Practitioner | 2300 Manchester Expy, Ste 1003, Columbus, GA 31904-6802 | 2017-05-11 |
| 1063956795 | Rebekah Begly | Nurse Practitioner | 2300 Manchester Expy, Butler Pavilion, Suite 1007, Columbus, GA 31904-6802 | 2016-12-14 |
| 1528517802 | Tracy B Stokes | Nurse Practitioner | 2300 Manchester Expy, Ste C001, Columbus, GA 31904-6802 | 2016-09-27 |
| 1073066254 | Chelsea Lawrence | Nurse Practitioner | 2300 Manchester Expy, Suite 2001, Butler Pavilion, Columbus, GA 31904-6802 | 2016-07-25 |
| 1609229863 | Dixie Peterson | Nurse Practitioner | 2300 Manchester Expy, Suite 2001, Columbus, GA 31904-6802 | 2016-07-22 |
| 1720430440 | Alexander Chavez | Nurse Practitioner | 2300 Manchester Expy, Ste 1009, Columbus, GA 31904-6802 | 2016-07-06 |
| 1437506318 | Michael Lemke | Nurse Practitioner | 2300 Manchester Expy, Building A, Suite 6, Columbus, GA 31904-6802 | 2016-05-19 |
| 1568822286 | Summer Carol Still | Nurse Practitioner | 2300 Manchester Expy, Suite 2001, Columbus, GA 31904-6802 | 2016-02-24 |
| 1861857294 | St. Francis Physician Practices LLC | Physical Medicine & Rehabilitation | 2300 Manchester Expy, Ste A005, Columbus, GA 31904-6802 | 2015-12-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487914552 | Stuart Richard Pierce | Obstetrics & Gynecology | 500 Thomas Ln Ste 4b, Columbus, OH 43214-1419 | 2012-05-23 |
| 1801023122 | Kristin Leigh Bixel | Obstetrics & Gynecology | 1145 Olentangy River Rd Ste 2100, Columbus, OH 43212-3117 | 2009-06-12 |
| 1225034622 | Luis Vaccarello | Obstetrics & Gynecology | 3100 Plaza Properties Blvd, Columbus, OH 43219-1531 | 2005-06-22 |
| 1528433968 | St Francis Physician Practices LLC | Obstetrics & Gynecology | 2300 Manchester Expy, C001, Columbus, GA 31904-6802 | 2015-12-10 |
| 1467717553 | Ohio Oncology & Hematology LLC | Obstetrics & Gynecology | 810 Jasonway Ave, Columbus, OH 43214-4359 | 2012-07-05 |
| 1356482905 | Ritu Salani | Obstetrics & Gynecology | 1145 Olentangy River Rd, Columbus, OH 43212-3117 | 2007-02-08 |
| 1285662007 | Jeffrey George Bell | Obstetrics & Gynecology | 500 Thomas Ln, Community Medicine, Columbus, OH 43214-1419 | 2006-06-29 |
| 1710929864 | David E Cohn | Obstetrics & Gynecology | 1145 Olentangy River Rd, Columbus, OH 43212-3117 | 2006-06-12 |
| 1710930698 | Mid Ohio Oncology/hematology | Obstetrics & Gynecology | 3100 Plaza Properties Blvd, Columbus, OH 43219-1531 | 2006-05-19 |
| 1750371795 | Gary Craig Reid | Obstetrics & Gynecology | 500 Thomas Ln, Ste 3b, Columbus, OH 43214-1419 | 2005-10-21 |
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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.