Northwest Georgia Oncology Centers, P.C

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009445 Issued in GA

Legal business name

NORTHWEST GEORGIA ONCOLOGY CENTERS, P.C

Practice address

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

Phone

(770) 281-5115

Fax

(678) 581-7111

NPI assigned

Jan 24, 2008

Last updated

Feb 26, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTHWEST GEORGIA ONCOLOGY CENTERS,P.CAs reported in NPPES

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

Medical Director

Phone

(770) 281-5000

Specialties & licenses 3

Addresses

Tax ID family

Northwest Georgia Oncology Centers5 organizations share this tax ID, including this one

Part of

Northwest Georgia Oncology Centers

Other organizations with this tax ID 4

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

• Northwest Georgia Oncology Centers

  • Durable Medical Equipment & Medical Supplies
  • Woodstock, GA
  • NPI 1326176488
  NPD tax ID
• Northwest Georgia Oncology Centers, PC

  • Durable Medical Equipment & Medical Supplies
  • Roswell, GA
  • NPI 1154864841
  NPD tax ID
• Northwest Georgia Oncology Centers, PC

  • Durable Medical Equipment & Medical Supplies
  • Villa Rica, GA
  • NPI 1619005667
  NPD tax ID
• Northwest Georgia Oncology Centers, PC

  • Durable Medical Equipment & Medical Supplies
  • Bremen, GA
  • NPI 1700914926
  NPD tax ID

Locations

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1821275629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 ROSELANE ST NW",
            "address_2": "SUITE 710",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 KENNESTONE HOSPITAL BLVD",
            "address_2": "SUITE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601152",
            "telephone_number": "770-281-5115",
            "fax_number": "678-581-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST GEORGIA ONCOLOGY CENTERS, P.C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST GEORGIA ONCOLOGY CENTERS,P.C",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-281-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009445",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Community/Retail Pharmacy in Marietta, GA
• Providers in Marietta, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.