A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical Oncology |
2086X0206X | 02 | Physician/General Surgery | |
Gynecologic Oncology |
207VX0201X | 16 | Physician/Obstetrics & Gynecology | |
Otolaryngology |
207Y00000X | 04 | Physician/Otolaryngology | |
Surgical Critical Care |
2086S0102X | 02 | Physician/General Surgery | |
Thoracic Surgery (Cardiothoracic Vascular Surgery) |
208G00000X | 02 | Physician/General Surgery |
| NPI # | 1316195373 |
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| LBN Legal business name | PROVIDENT HEALTH SURGICAL ASSOCIATES, INC. | ||||||||||||||||
| Authorized official | ROBIN MADDOX - (PROVIDER ENROLLMENT COORDINATOR) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 09/03/2008 | ||||||||||||||||
| Last updated | 05/03/2011 - About 15 years ago | ||||||||||||||||
| Identifiers |
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PROVIDENT HEALTH SURGICAL ASSOCIATES, INC.
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| ROBERT J KELLY JR, MD 4700 WATERS AVENUE SAVANNAH, GA |
| EDWARD J COHN JR, MD 4750 WATERS AVE SAVANNAH, GA |
| CANCER CARE PAVILION INC 225 CANDLER DR. SAVANNAH, GA |
| ANTIOCH VASCULAR CENTER, LLC 9104 MIDDLEGROUND ROAD SAVANNAH, GA |
| COASTAL EAR NOSE & THROAT, LLC 322 COMMERCIAL DR SAVANNAH, GA |
| STEPHANIE D TOOTLE, MD 1004 MEMORIAL LN STE 500 SAVANNAH, GA |
| CARDIOTHORACIC SURGERY OF SAVANNAH PC 11806 MERCY BLVD SAVANNAH, GA |
| EAR, NOSE & THROAT ASSOCIATES OF SAVANNAH, PC 114 CANAL STREET POOLER, GA |
| MPPG, INC. 7 MALLET WAY BLUFFTON, SC |
| PROVIDENT HEALTH SURGICAL ASSOCIATES, INC. 14 OKATIE CENTER BLVD. SOUTH OKATIE, SC |