21ST CENTURY ONCOLOGY LLC (NPI# 1518105394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518105394 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY ONCOLOGY LLC |
| Other Organization Name | GULFSTREAM UROLOGY |
| Practice Address |
8931 Colonial Center Dr Suite 100 Fort Myers FL 33905-7809 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 2392775770 |
| Practice Fax Number | 2399851911 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | KIM COMMINS (CEO) |
| Authorized Official Telephone | 2399317275 |
| Is Organization Subpart | Y |
| Parent Organization Name | RADIATION THERAPY SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | CE7138 | 01 |
| Other Name | Type Code |
|---|---|
| Gulfstream Urology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740748706 | 21st Century Oncology LLC | Internal Medicine | 3651 Fau Blvd Ste 100, Boca Raton, FL 33431-6489 | 2019-03-08 |
| 1669701918 | 21st Century Oncology LLC | Urology | 1044 Goodlette Rd N, Naples, FL 34102-5449 | 2009-12-16 |
| 1790993632 | 21st Century Oncology LLC | Durable Medical Equipment & Medical Supplies | 1255 Viscaya Pkwy # 2, Suite 201, Cape Coral, FL 33990-3290 | 2007-05-21 |
| 1316426281 | 21st Century Oncology LLC | Durable Medical Equipment & Medical Supplies | 1200 E Broward Blvd, Fort Lauderdale, FL 33301-2134 | 2018-08-10 |
| 1922456722 | 21st Century Oncology LLC | Surgery | 10141 Forest Hill Blvd, Wellington, FL 33414-6103 | 2016-06-02 |
| 1568820363 | 21st Century Oncology LLC | Surgery | 3300 Us 27 S, Avon Park, FL 33825-9701 | 2016-02-08 |
| 1558729855 | 21st Century Oncology LLC | Surgery | 6405 N Federal Hwy, Suite 401, Fort Lauderdale, FL 33308-1412 | 2016-02-02 |
| 1730551227 | 21st Century Oncology LLC | Surgery | 1411 N Flagler Dr, Suite 7300, West Palm Beach, FL 33401-3404 | 2015-10-23 |
| 1679945158 | 21st Century Oncology LLC | Urology | 787 37th St, Suite E-200, Vero Beach, FL 32960-7305 | 2015-10-23 |
| 1871964916 | 21st Century Oncology LLC | Urology | 10115 Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2015-10-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | 21ST CENTURY ONCOLOGY LLC | 3651 Fau Blvd Ste 100, Boca Raton, FL 33431-6489 |
| Street Address |
8931 COLONIAL CENTER DR SUITE 100 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33905-7809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306843370 | James W. Orr Jr. | Obstetrics & Gynecology | 8931 Colonial Center Dr, Suite 400, Fort Myers, FL 33905-7816 | 2005-07-05 |
| 1457833196 | Jessica Isaacs | Genetic Counselor, MS | 8931 Colonial Center Dr, Fort Myers, FL 33905-7809 | 2018-08-29 |
| 1902291263 | Keisha Miller | Nurse Practitioner | 8931 Colonial Center Dr, Suite100, Fort Myers, FL 33905-7809 | 2015-04-03 |
| 1053703454 | 21st Century Oncology LLC | Urology | 8931 Colonial Center Dr, Suite 100, Fort Myers, FL 33905-7809 | 2015-02-23 |
| 1396134961 | Christina Clark | Physician Assistant | 8931 Colonial Center Dr, Suite 301, Fort Myers, FL 33905-7809 | 2015-01-20 |
| 1912303389 | Gabriella Brock | Pharmacist | 8931 Colonial Center Dr, Suite 200, Fort Myers, FL 33905-7809 | 2014-11-13 |
| 1447650270 | Kristen Marlene Kirdahy | Pharmacist | 8931 Colonial Center Dr, Suite 200 - Pharmacy, Fort Myers, FL 33905-7809 | 2014-08-29 |
| 1144632217 | Sousan Yazdi Black | Nurse Practitioner | 8931 Colonial Center Dr, Suite 300, Fort Myers, FL 33905-7809 | 2014-05-23 |
| 1841614237 | Ma Antonietta Orlang | Registered Nurse | 8931 Colonial Center Dr, Suite 302, Fort Myers, FL 33905-7809 | 2014-02-06 |
| 1073864526 | Michael David Cook | Physician Assistant | 8931 Colonial Center Dr, Suite 100, Fort Myers, FL 33905-7809 | 2012-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811476211 | Lisa Nicole Campbell | Nurse Practitioner | 2850 Via Campania St, Fort Myers, FL 33905 | 2018-08-07 |
| 1538670260 | Doctorguarin LLC | Clinic/Center | 3143 Antica St, Fort Myers, FL 33905 | 2017-10-20 |
| 1366828931 | Dawn Bradley Arnp Pllc | Nurse Practitioner | 3056 Champion Ring Rd, Ft Myers, FL 33905 | 2015-08-06 |
| 1720480551 | Yohana Pierre Villarroel | Licensed Practical Nurse | 2789 Ortiz Ave., Fort Myers, FL 33905 | 2014-09-24 |
| 1639592090 | Hamprenate Service | Case Manager/Care Coordinator | 2789 Oritz Avenue, Fort Myere, FL 33905 | 2014-01-21 |
| 1255688743 | Ronak B Patel | Pharmacist | 9365 Via Murano Ct, Fort Myers, FL 33905 | 2012-08-14 |
| 1477824852 | Joseph Francis Kusiak | Plastic Surgery | 3320 Shady Bend, Fort Myers, FL 33905 | 2012-01-18 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1790898666 | Access Medical South, Lc | Durable Medical Equipment & Medical Supplies | 5701 Country Lakes Dr., Suite 20, Ft. Myers, FL 33905 | 2006-08-16 |
| 1780691600 | Arthur Lee Strauss | Social Worker | 6000 South Dixie Hwy, Suite B, West Palm Beach, FL 33905 | 2006-08-02 |
| Find all providers in zip 33905 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366916843 | Dr. Carolyn Langford Urologic Solutions, LLC | Urology | 9400 Gladiolus Dr Ste 30, Fort Myers, FL 33908-9615 | 2019-01-17 |
| 1427388065 | Davis Fessenden Gates | Urology | 1255 Osceola Dr, Fort Myers, FL 33901-6729 | 2010-01-04 |
| 1386656528 | Meir Daller | Urology | 14320 Metropolis Ave Ste 1, Fort Myers, FL 33912-4539 | 2006-08-13 |
| 1326054131 | Lewis B Chaikin | Urology | 4048 Evans Ave Ste 306, Fort Myers, FL 33901-9390 | 2006-08-01 |
| 1376558866 | Philip Newhall | Urology | 12651 Whitehall Dr, Fort Myers, FL 33907-3626 | 2006-07-31 |
| 1538185939 | Veronique Fernandez-salvador | Urology | 7451 Gladiolus Dr, Fort Myers, FL 33908-5193 | 2006-07-15 |
| 1215913975 | David S Harris | Urology | 6811 Palisades Park Ct Ste 1, Fort Myers, FL 33912 | 2005-12-15 |
| 1548810823 | Bradley J Trifilo | Urology | 14320 Metropolis Ave Ste 1, Fort Myers, FL 33912-4539 | 2019-09-18 |
| 1558737148 | Scappa Urology, Pa | Urology | 9400 Gladiolus Dr, Suite 30, Fort Myers, FL 33908-6699 | 2015-08-18 |
| 1275917304 | 21st Century Oncology LLC | Urology | 4571 Colonial Blvd, Fort Myers, FL 33966-1156 | 2015-07-18 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33905 |
Please comment or provide details below to improve the information on 21ST CENTURY ONCOLOGY LLC.
| 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.