Suburban Hematology Oncology Associates, PC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

SUBURBAN HEMATOLOGY ONCOLOGY ASSOCIATES, PC

Practice address

631 Professional Drive
Suite 450
Lawrenceville, GA 30046-7651

Phone

(770) 963-8030

Fax

(770) 339-9577

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Candace A Hayes

Title

Administrator

Phone

(678) 533-1555

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allan Freedman, M.D.

  • Hematology & Oncology Physician
  • Snellville, GA
  • NPI 1811086457
  Medicare reassignment NPD
• Barbara O'Callaghan, RN, NP

  • Oncology Registered Nurse
  • Lawrenceville, GA
  • NPI 1003041104
  Medicare reassignment NPD
• Kevin H Peacock, MD

  • Hematology & Oncology Physician
  • Conyers, GA
  • NPI 1679686661
  Medicare reassignment NPD

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1508926759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DRIVE",
            "address_2": "SUITE 450",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467650",
            "telephone_number": "770-963-8030",
            "fax_number": "770-339-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DRIVE",
            "address_2": "SUITE 450",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467651",
            "telephone_number": "770-963-8030",
            "fax_number": "770-339-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN HEMATOLOGY ONCOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-533-1555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GRP#",
            "identifier": "CH5181",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Stroud, LMSW
• Micah Stuman
• Katherine Anne Sturgis
• Jordan Matthew Suarez, PT
• Nehemiah Joseph Suarez
• Sugarloaf Crossing Dental Center LLC
• Sugarloaf Dialysis LLC
• Sugarloaf Family Chiropractic, LLC
• Sugarloaf Hearing Aid Factory Outlet
• Sugarloaf Pediatrics, PC

• Hematology & Oncology Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Hematology & Oncology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.