Northwest Georgia Oncology Centers, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0741780001 Issued in GA

Legal business name

NORTHWEST GEORGIA ONCOLOGY CENTERS, PC

Practice address

340 Kennestone Hospital Blvd
Ste 200
Marietta, GA 30060-1152

Phone

(770) 281-5100

Fax

(678) 581-7100

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bruce J Gould, MD

Title

MD Physician

Phone

(770) 281-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Northwest Georgia Oncology Centers, PC

  • Specialist
  • Marietta, GA
  • NPI 1750376695

  Member Of

  NPD member

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1700914751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HOSPITAL SOUTH DR",
            "address_2": "SUITE 300",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301066810",
            "telephone_number": "770-944-2830",
            "fax_number": "678-581-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 KENNESTONE HOSPITAL BLVD",
            "address_2": "STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601152",
            "telephone_number": "770-281-5100",
            "fax_number": "678-581-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST GEORGIA ONCOLOGY CENTERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD PHYSICIAN",
        "authorized_official_telephone_number": "770-281-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "0741780001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER NUMBER (MARIETTA)",
            "identifier": "1700914751",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Audiology, LLC
• Northwest Endoscopy Center, LLC
• Northwest ENT Associates, PC
• Northwest Georgia Anesthesia Associates, LLC
• Northwest Georgia Oncology Centers, P.C
• Northwest Georgia Oncology Centers, PC
• Northwest Georgia Orthopaedic Surgery Center, LLC
• Northwest Oral & Maxillofacial Surgery Associates, P.C.
• Andi Norton
• Sean Norwood

• Durable Medical Equipment & Medical Supplies in Marietta, GA
• Providers in Marietta, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.