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UNIVERSITY HEALTH ALLIANCE NPI 1972239440


NPI Information

NPI: 1972239440
Provider Name: UNIVERSITY HEALTH ALLIANCE

Doing Business As: UNIVERSITY HEALTH ALLIANCE

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 11D2288136

Address:
3320 OLD JEFFERSON RD BLDG 800
ATHENS, GA
ZIP 30607
Phone: (706) 353-2990
Get Directions

UNIVERSITY HEALTH ALLIANCE is a hematology and oncology internal medicine in Athens, GA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. UNIVERSITY HEALTH ALLIANCE NPI is 1972239440. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As University Health Alliance.

The provider's business location address is:

3320 OLD JEFFERSON RD BLDG 800
ATHENS, GA
ZIP 30607-400
Phone: (706) 353-2990
Fax: (706) 353-2992

The provider's authorized official is Loretta L Goodson .
The authorized official title is Ceo and has the following contact phone number (706) 353-5016.

The CLIA number assigned to this NPI record is 11D2288136 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/27/2022 and was last updated on 2/9/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207QA0505XFamily MedicineAdult MedicineNo
3207QH0002XFamily MedicineHospice and Palliative MedicineNo
4207R00000XInternal MedicineNo
5207RG0100XInternal MedicineGastroenterologyNo
6207RH0000XInternal MedicineHematologyNo
7207RH0002XInternal MedicineHospice and Palliative MedicineNo
8207RX0202XInternal MedicineMedical OncologyNo
9207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNo
102085R0001XRadiologyRadiation OncologyNo
11208600000XSurgeryNo
122086X0206XSurgerySurgical OncologyNo
13208C00000XColon & Rectal SurgeryNo
14207RH0003XInternal MedicineHematology & OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.