21ST CENTURY ONCOLOGY OF KENTUCKY LLC (NPI# 1124008677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124008677 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY ONCOLOGY OF KENTUCKY LLC |
| Practice Address |
520 Techwood Drive N Danville KY 40422-8500 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 8592369819 |
| Practice Fax Number | 8592362192 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | KIM COMMINS (CEO) |
| Authorized Official Telephone | 2399317275 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65940058 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649779455 | 21st Century Oncology of Kentucky LLC | Non-Pharmacy Dispensing Site | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2018-02-07 |
| 1922520808 | 21st Century Oncology of Kentucky LLC | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2017-07-12 |
| Street Address |
520 TECHWOOD DRIVE N |
| City | DANVILLE |
| State | KY |
| Zip Code | 40422-8500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098754 | Healthstat Onsite Clinic Centre College | Preventive Medicine | 851 West Walnut St, Danville, KY 40422 | 2020-03-19 |
| 1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
| 1033677695 | Shannon Holland Erwin | Counselor | 475 W Main St Suite 160, Danville, KY 40422 | 2019-03-03 |
| 1225556871 | Fallon Michelle Carnes | Counselor | 106 Belinda Blvd., Danville, KY 40422 | 2017-09-05 |
| 1780124529 | Natasha Taylor | Counselor | 461 South 4th Street, Danville, KY 40422 | 2017-02-27 |
| 1184088890 | Elizabeth Love | Counselor | 108 Saint Josephs Ct, Danville, KY 40422 | 2016-04-08 |
| 1801274550 | Jeremy Tate Johnson | Specialist/Technologist | 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 | 2015-05-14 |
| 1649602228 | Susan Hale Couzens | Dentist | 435 Whirlaway Dr, Danville, KY 40422 | 2013-08-06 |
| 1265751200 | William Paul Baas | Ophthalmology | 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 | 2010-05-28 |
| 1780823666 | Karen Totsuka IIi | Speech-Language Pathologist | 642 Nth 3rd St, Danville, KY 40422 | 2009-02-17 |
| Find all providers in zip 40422 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144280298 | John Anthony Clement | Radiology | 38 Overlook Dr, Danville, PA 17821-9603 | 2006-03-24 |
| 1861473704 | Jaidev Soni | Radiology | 806 N Logan Ave, Danville, IL 61832-3716 | 2005-11-08 |
| 1306831516 | Gregory H. Carlsen | Radiology | 204 S 2nd St, Danville, KY 40422-1804 | 2005-09-14 |
| 1861495996 | David J Salinger | Radiology | 100 N Academy Ave, Danville, PA 17822-2385 | 2005-05-23 |
| 1336346659 | Heath Mackley | Radiology | 100 N Academy Ave, Danville, PA 17822-0850 | 2007-06-29 |
| 1285687178 | Commonwealth Hematology Oncology Psc | Radiology | 520 Techwood Drive, Suite 100, Danville, KY 40422-8500 | 2006-05-19 |
| 1073589669 | Alfred D. Christie | Radiology | 100 N Academy Ave, Danville, PA 17822-2003 | 2006-02-24 |
| 1891777389 | Anand Mahadevan | Radiology | 100 N Academy Ave, Danville, PA 17822 | 2005-11-18 |
| 1811978752 | Jaidev C Soni | Radiology | 806 N Logan Ave, Danville, IL 61832-3716 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780190397 | Medical Associates, LLC | Radiology | 644 Maysville Rd Ste 4, Mount Sterling, KY 40353-9464 | 2017-12-19 |
| 1801259841 | Shilpa Sachdeva Larkin | Radiology | 800 Rose Street Pav H, Lexington, KY 40536-0001 | 2016-03-29 |
| 1992183065 | Denise Fabian | Radiology | Uk Radiation Medicine, 800 Rose St Ste C114d, Lexington, KY 40536-0293 | 2015-05-11 |
| 1104211341 | Alden Klarer | Radiology | 529 South Jackson, Internal Medicine, Acb 3rd Floor, Louisville, KY 40202-1622 | 2015-04-04 |
| 1417342999 | Nicolas P. Burnett | Radiology | 800 Rose St # Hq101, Lexington, KY 40536-7001 | 2015-04-01 |
| 1932468246 | Mark Edmund Bernard | Radiology | 800 Rose Stree, C114, Uk Healthcare Department of Radiation Medicine, Lexington, KY 40536-0293 | 2012-05-07 |
| 1164685012 | Jonathan Michael Feddock | Radiology | 800 Rose Street Hq-101, Lexington, KY 40536-0293 | 2008-07-09 |
| 1699844910 | Birkhead, Eckman & Scharf, P.s.c. | Radiology | 4003 Kresge Way Ste 115, Louisville, KY 40207-4652 | 2006-11-08 |
| 1659469476 | Samuel Ryan Faught | Radiology | 1020 Breckenridge St, Owensboro, KY 42303-0803 | 2006-10-10 |
| 1164513339 | Radiation Oncology Psc | Radiology | 1000 Breckenridge Street, Suite 203, Owensboro, KY 42303-0876 | 2006-09-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.