DR. JOHN EDWARD JANIK (NPI# 1508052127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508052127 |
| Entity Type | Individual |
| Full Name | DR. JOHN EDWARD JANIK |
| Credential | MD |
| Practice Address |
1120 15th St Augusta GA 30912-0004 |
| Mailing Address |
1499 Walton Way Suite 1400 Augusta GA 30901-2602 |
| Practice Telephone | 7067216744 |
| Mailing Telephone | 7067246100 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2013-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
067704 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
067704 | GA | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
D0023451 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
1120 15TH ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051556 | Gyanendra Kumar Sharma | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2005-05-23 |
| 1912508532 | Lacey Nichol Preston | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-11-02 |
| 1992302988 | Victoria Mae Pregibon | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-03 |
| 1275130239 | Tanya Renee Hall | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-02 |
| 1144847864 | Cassandra Marie Voong | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-29 |
| 1245857002 | Morgan Rowe | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-28 |
| 1639795990 | Lauren Christine Bush | Audiologist | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-23 |
| 1811513575 | Ashley Danielle Fox | Internal Medicine | 1120 15th St, Augusta, GA 30912-0006 | 2020-06-18 |
| 1265058994 | Matthew Craddock | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-18 |
| 1437775301 | Joseph John Arellano | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992050306 | Sneha Purvey | Internal Medicine | 361 Old Belgrade Rd, Augusta, ME 04330-8058 | 2012-07-23 |
| 1568421147 | Shou-ching Tang | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2006-03-21 |
| 1144296609 | Andrew A Hertler | Internal Medicine | 361 Old Belgrade Rd, Alfond Cancer Center, Augusta, ME 04330-8058 | 2006-02-24 |
| 1376519827 | Elena Lampros Nawfel | Internal Medicine | 361 Old Belgrade Rd, Alfond Cancer Center, Augusta, ME 04330-8058 | 2006-02-24 |
| 1225003528 | Ronald D Hart | Internal Medicine | 361 Old Belgrade Rd, Alfond Cancer Center, Augusta, ME 04330 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728326 | Tmg Northwest Georgia Oncology Center Inc | Internal Medicine | 705 Dallas Hwy Ste 204, Villa Rica, GA 30180-1243 | 2020-04-15 |
| 1710515184 | Tanner Oncology Services Inc | Internal Medicine | 157 Clinic Ave Ste 202, Carrollton, GA 30117-4454 | 2020-03-31 |
| 1396152922 | Dawn Diane Hassinger | Internal Medicine | 195 Mark Trl, Atlanta, GA 30328-2163 | 2014-07-15 |
| 1114247996 | John Heath West | Internal Medicine | 20 Liberty Creek Dr, Savannah, GA 31406-3224 | 2010-06-03 |
| 1871546200 | Ronald Douglas Wichman | Internal Medicine | 115 Eagle Spring Dr, Suite A, Stockbridge, GA 30281-6328 | 2006-05-18 |
| 1346209764 | South Atlanta Hematology Oncology PC | Internal Medicine | 253 Upper Riverdale Rd Sw Ste C, Riverdale, GA 30274-4945 | 2006-03-23 |
| 1396735908 | Antonio Moran Jr. | Internal Medicine | 1111 Glynco Pkwy Ste 35, Brunswick, GA 31525-7930 | 2005-10-25 |
| 1114922267 | Nancy W Stead | Internal Medicine | 1848 Blue Ridge Dr Ne, Gainesville, GA 30501-1210 | 2005-06-16 |
| 1871055434 | North Atlanta Oncology Services LLC | Internal Medicine | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2019-04-03 |
| 1972065852 | Gwinnett Hospital System Tccc LLC | Internal Medicine | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2019-04-01 |
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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.