NORTHWEST GEORGIA ONCOLOGY CENTERS, PC (NPI# 1700914751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700914751 |
| Entity Type | Organization |
| Organization Name | NORTHWEST GEORGIA ONCOLOGY CENTERS, PC |
| Practice Address |
340 Kennestone Hospital Blvd Ste 200 Marietta GA 30060-1152 |
| Mailing Address |
1700 Hospital South Dr Suite 300 Austell GA 30106-6810 |
| Practice Telephone | 7702815100 |
| Practice Fax Number | 6785817100 |
| 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 | 0741780001 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | SUPPLIER NUMBER (MARIETTA) | 1700914751 | 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 |
| 1992833941 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 15 Reinhardt College Pkwy, Suite 110, Canton, GA 30114-2493 | 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 |
| 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 |
340 KENNESTONE HOSPITAL BLVD STE 200 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789188 | Robert C Hermann | Specialist | 340 Kennestone Hospital Blvd, Ste 200, Marietta, GA 30060-1121 | 2005-06-13 |
| 1962943209 | Paul Hughes | Pharmacist | 340 Kennestone Hospital Blvd, Marietta, GA 30060-1152 | 2017-03-20 |
| 1457709768 | Sara A Herrin | Nurse Practitioner | 340 Kennestone Hospital Blvd, Suite 200, Marietta, GA 30060-1173 | 2016-05-26 |
| 1457711715 | Marian Wilim | Nurse Practitioner | 340 Kennestone Hospital Blvd, Ll20, Marietta, GA 30060-1152 | 2016-02-29 |
| 1215299953 | Elizabeth K Mcneill | Physician Assistant | 340 Kennestone Hospital Blvd, Suite 200, Marietta, GA 30060-1152 | 2012-06-08 |
| 1427321124 | Shuang Yin Zhang | Internal Medicine | 340 Kennestone Hospital Blvd, Suite 200, Marietta, GA 30060-1173 | 2012-02-12 |
| 1659694867 | Allison Michelle Berard | Physician Assistant | 340 Kennestone Hospital Blvd, Suite Ll20, Marietta, GA 30060-3006 | 2010-03-03 |
| 1568632081 | Danielle L Roberts | Physician Assistant | 340 Kennestone Hospital Blvd, Suite 200, Marietta, GA 30060-1152 | 2008-03-12 |
| 1821275629 | Northwest Georgia Oncology Centers, P.c | Pharmacy | 340 Kennestone Hospital Blvd, Suite 200, Marietta, GA 30060-1152 | 2008-01-24 |
| 1477749836 | Sarah C. Cooper | Nurse Practitioner | 340 Kennestone Hospital Blvd, Suite Ll20, Marietta, GA 30060-1152 | 2007-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| 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 |
|---|---|---|---|---|
| 1164045548 | My Chronic Care Management | Durable Medical Equipment & Medical Supplies | 20 Whitlock Pl Sw Ste 101, Marietta, GA 30064-3176 | 2020-05-20 |
| 1508495953 | Sns Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 631 Campbell Hill St Nw Ste 100, Marietta, GA 30060-1390 | 2020-04-07 |
| 1679125538 | Ogles Oxygen, LLC | Durable Medical Equipment & Medical Supplies | 1890 W Oak Pkwy Ste A, Marietta, GA 30062-2278 | 2019-07-11 |
| 1609338326 | Green Wood Berry Holdings LLC | Durable Medical Equipment & Medical Supplies | 509 Gramercy Dr Ne, Marietta, GA 30068-4873 | 2019-04-02 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1487183224 | Damon Iler | Durable Medical Equipment & Medical Supplies | 428 Marble Mill Rd Nw Unit A, Marietta, GA 30060 | 2017-06-06 |
| 1659825198 | Lonnie Johnson | Durable Medical Equipment & Medical Supplies | 1750 Powder Springs Rd Sw Ste 190, Marietta, GA 30064-4861 | 2016-08-13 |
| 1316334261 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 718 Cherokee St, Marietta, GA 30060-7253 | 2015-04-17 |
| 1760872923 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 800 Whitlock Ave Nw, Ste 126, Marietta, GA 30064-4664 | 2015-01-27 |
| 1003212457 | Zenartis Health Services LLC | Durable Medical Equipment & Medical Supplies | 1110 Northchase Pkwy Se, Suite 180, Marietta, GA 30067-6408 | 2014-11-13 |
| Find all providers in MARIETTA | ||||
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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.