NORTH ATLANTA ONCOLOGY SERVICES LLC (NPI# 1871055434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871055434 |
Entity Type | Organization |
Organization Name | NORTH ATLANTA ONCOLOGY SERVICES LLC |
Practice Address |
631 Professional Dr Ste 450 Lawrenceville GA 30046-3370 |
Mailing Address |
1000 Johnson Fy Rd Ne Attn: Jorge Hernandez Atlanta GA 30342-1611 |
Practice Telephone | 7709638030 |
Mailing Telephone | 4048516378 |
Enumeration Date | 2019-04-03 |
Last Update Date | 2019-08-28 |
Authorized Official Name | MR. JORGE HERNANDEZ III (VP ADMIN; CCO) |
Authorized Official Telephone | 4048516378 |
Is Organization Subpart | Y |
Parent Organization Name | NORTHSIDE HOSPITAL, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
Street Address |
631 PROFESSIONAL DR STE 450 |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30046-3370 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649229683 | Aldemar Montero | Internal Medicine | 631 Professional Dr Ste 450, Suite 210, Lawrenceville, GA 30046-3370 | 2006-05-08 |
1972065852 | Gwinnett Hospital System Tccc LLC | Internal Medicine | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2019-04-01 |
1265940936 | Carla Bumanglag Perry | Nurse Practitioner | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2018-01-16 |
1114443967 | Kristen Copeland | Nurse Practitioner | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2017-08-14 |
1720395825 | Wan Li Yang | Nurse Practitioner | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2010-09-10 |
1083921274 | John David Botero | Nurse Practitioner | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2010-09-09 |
1467687566 | Ramandeep Kaur Bambrah | Internal Medicine | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2009-05-19 |
1023226081 | Praveen Sivakumaran | Internal Medicine | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2007-05-21 |
1912034471 | I-wen Chang | Internal Medicine | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2007-02-28 |
1578668133 | Jennifer Leigh Lucas | Pharmacist | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2006-09-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
Find all providers in zip 30046 |
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 |
---|---|---|---|---|
1972065852 | Gwinnett Hospital System Tccc LLC | Internal Medicine | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2019-04-01 |
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 |
1063822393 | Ruth Lauren Sacks | Internal Medicine | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2014-05-08 |
1306158480 | Tift Regional Health System Inc | Internal Medicine | 1623 Madison Ave, Tifton, GA 31794-3757 | 2010-07-06 |
Find all providers with the same taxonomy |
City | LAWRENCEVILLE |
Zip Code | 30046 |
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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.