NPIMap

Organization Active NPI

Cumming Medical Ventures

Doing business as Northwoods Medical Specialists

  • Specialist
  • Cumming, GA
National Provider Identifier
1356459911
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CUMMING MEDICAL VENTURES
Doing business as
Northwoods Medical Specialists
Practice address
1230 Bald Ridge Marina Rd
Cumming, GA 30041-7536
Phone
(770) 781-6350
Fax
(770) 781-6357
NPI assigned
Aug 25, 2006
Last updated
Mar 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eugene E Goedtke
Title
Business Office Manager
Phone
(770) 781-6350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1230 Bald Ridge Marina Rd
Cumming, GA 30041-7536

Mailing address

1230 Bald Ridge Marina Rd
Cumming, GA 30041-7536
Phone (770) 781-6350

Other names 1

  • Northwoods Medical Specialists Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1356459911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 BALD RIDGE MARINA RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417536",
            "telephone_number": "770-781-6350",
            "fax_number": "770-781-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 BALD RIDGE MARINA RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417536",
            "telephone_number": "770-781-6350",
            "fax_number": "770-781-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMMING MEDICAL VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "GOEDTKE",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "770-781-6350"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwoods Medical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.