NSH Cancer Institute Professional Services a LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NSH CANCER INSTITUTE PROFESSIONAL SERVICES A LLC

Practice address

1498 Klondike Rd SW
Suite 106
Conyers, GA 30094-5169

Phone

(770) 761-7260

NPI assigned

Sep 18, 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 A 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": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1912257957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD NE",
            "address_2": "CENTER POINTE I, SUITE 510",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421709",
            "telephone_number": "404-419-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 KLONDIKE RD SW",
            "address_2": "SUITE 106",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945169",
            "telephone_number": "770-761-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSH CANCER INSTITUTE PROFESSIONAL SERVICES A LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHSIDE HOSPITAL, INC.",
        "enumeration_date": "2012-09-18",
        "last_updated": "2014-01-23",
        "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 A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Trakeyah Norris, RBT
• Northwest Diagnostic Imaging, Inc
• James R Norwood
• Omosede Jemimah Nosa-Oviasu, RN
• Novia Nem Transport Inc
• NSH Cancer Institute Professional Services G, LLC
• Nursing Companion, LLC
• Nutravita, LLC
• Kenneth O'Neal, M.D.
• Aileen P O'Neill, M.D.

• Durable Medical Equipment & Medical Supplies in Conyers, GA
• Providers in Conyers, 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 Jan 23, 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.