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Georgia Health Sciences University

Organization Active NPI Chronic Disease Hospital · Martinez, GA

NPI 1659639789 · NPPES record last updated Apr 26, 2012

Key facts

NPI
1659639789
Entity type
Organization (NPI type 2)
Primary specialty
Chronic Disease Hospital 281P00000X
Legal business name
GEORGIA HEALTH SCIENCES UNIVERSITY
Practice address
282 Stonington Dr
Martinez, GA 30907-1806
Phone
(414) 736-5919
NPI assigned
Apr 26, 2012
Organization subpart
No

Authorized official

Name
Dr. Gitika Aggarwal, MD NPI 1568624252
Title
Resident-Pathology
Phone
41417365919

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

Tax ID family
Augusta University (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Disease Hospital 281P00000X Yes

Addresses

Primary practice location

282 Stonington Dr
Martinez, GA 30907-1806

Mailing address

282 Stonington Dr
Martinez, GA 30907-1806
Phone (414) 736-5919

Other names

  • Medical College of Georgia Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 26, 2012.

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1659639789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 STONINGTON DR",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309071806",
            "telephone_number": "414-736-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 STONINGTON DR",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309071806",
            "telephone_number": "414-736-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA HEALTH SCIENCES UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "GITIKA",
        "authorized_official_title_or_position": "RESIDENT-PATHOLOGY",
        "authorized_official_telephone_number": "41417365919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical College of Georgia",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Martinez, GA

All providers in Martinez, GA · Chronic Disease Hospital in Georgia

Sources for this page

Verify at the official NPI Registry.