NSH Cancer Institute Professional Services G LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC

Practice address

5700 Hillandale Dr
BLDG. 200
Lithonia, GA 30058-4103

Phone

(770) 981-5431

NPI assigned

Sep 19, 2012

Organization subpart

Yes

Parent organization

NORTHSIDE HOSPITAL, INC.As reported in NPPES

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

Authorized official

Name

Jorge J Hernandez

Title

VP of Admin Services and Cco

Phone

(404) 851-6378

Specialties & licenses 1

Addresses

Other names 1

• NSH CIPS G Other name

Part of

Northside Hospital

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Northside Hospital, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Canton, GA
  • NPI 1770112021

  Member Of

  NPD member

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1770833550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 SAVOY DR",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 HILLANDALE DR",
            "address_2": "BLDG. 200",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584103",
            "telephone_number": "770-981-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHSIDE HOSPITAL, INC.",
        "enumeration_date": "2012-09-19",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP OF ADMIN SERVICES AND CCO",
        "authorized_official_telephone_number": "404-851-6378"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NSH CIPS G",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Kathryn Nobles, CNP
• Candice Norris-Brown
• Alecia Norris, NURSING ASSISTANT
• Leslie Shemain Novak, MPT
• NP Quality Healthcare, LLC
• Joy A Nwafor-Akobundu, NP
• Julius B Oderinde, M.D .
• Margaret Ikhuohuolegbe Odion, LDO
• Sasha Offord
• Nnennaya Ogbuehi, DMD

• Durable Medical Equipment & Medical Supplies in Lithonia, GA
• Providers in Lithonia, 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 May 12, 2014; 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.