Northwest Georgia Oncology Centers, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0741780007 Issued in GA

Legal business name

NORTHWEST GEORGIA ONCOLOGY CENTERS, PC

Practice address

6002 Professional Pkwy
Ste 220
Douglasville, GA 30134-5600

Phone

(678) 715-9690

Fax

(678) 581-7180

NPI assigned

Mar 1, 2007

Last updated

Dec 1, 2010By the provider in NPPES

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, MDNPI 1326042706

Title

MD Physician

Phone

(770) 281-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Bruce J Gould, MD

  • Hematology & Oncology Physician
  • Marietta, GA
  • NPI 1326042706
  Authorized official Same address or phone

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1790813749",
    "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": "6002 PROFESSIONAL PKWY",
            "address_2": "STE 220",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345600",
            "telephone_number": "678-715-9690",
            "fax_number": "678-581-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST GEORGIA ONCOLOGY CENTERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2010-12-01",
        "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": "0741780007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER NPI NUMBER (DOUGLASVILLE)",
            "identifier": "1790813749",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhoda-Leann Ballentine Norris, D.M.D.
• North American Homecare Services Inc
• Reicia Symone North, OTR/L
• Northland Hearing Centers, Inc (NuEar)
• Northwest Diagnostic Imaging, Inc (Open MRI & Imaging of Douglasville, LLC)
• Kathryn Ward Norton, DNP, AGACNP, ACNS
• Manish Suresh Noticewala, MD
• NSH Cancer Institute Professional Services G, LLC
• Sergio Nunez, RBT
• NW Ga Regional Hospital

• Durable Medical Equipment & Medical Supplies in Douglasville, GA
• Providers in Douglasville, 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 1, 2010; 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.