21ST CENTURY ONCOLOGY LLC (NPI# 1518278555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518278555 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY ONCOLOGY LLC |
| Other Organization Name | ARVIND SHARMA MD |
| Practice Address |
3390 Tamiami Trl Suite 201 Port Charlotte FL 33952-8157 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 9417668080 |
| Practice Fax Number | 9417668081 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | KIM COMMINS (CEO) |
| Authorized Official Telephone | 2399317277 |
| 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 |
| Other Name | Type Code |
|---|---|
| Arvind Sharma MD | 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 |
3390 TAMIAMI TRL SUITE 201 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-8157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487647293 | Arshad Ahad | Internal Medicine | 3390 Tamiami Trl, 205, Port Charlotte, FL 33952-8157 | 2005-08-26 |
| 1639652357 | Tasha Garcia | Social Worker | 3390 Tamiami Trl, Port Charlotte, FL 33952-8157 | 2018-09-09 |
| 1194128934 | Conrad Healthcare LLC | Home Health | 3390 Tamiami Trl, Suite 203, Port Charlotte, FL 33952-8157 | 2014-10-08 |
| 1043506900 | Maria Grace Compton | Otolaryngology | 3390 Tamiami Trl, Ste 201, Port Charlotte, FL 33952-8162 | 2011-06-20 |
| 1255642815 | Philip Blanchard Paine | Internal Medicine | 3390 Tamiami Trl, Suite 204, Port Charlotte, FL 33952-8157 | 2010-06-29 |
| 1619293180 | Cohleen Marie Nottingham | Nurse Practitioner | 3390 Tamiami Trl, Suite 104, Port Charlotte, FL 33952-8157 | 2010-04-08 |
| 1720271505 | Arshad Ahad Md Pa | Internal Medicine | 3390 Tamiami Trl, Ste 205, Port Charlotte, FL 33952-8157 | 2007-08-24 |
| 1811180870 | Nandini Kiri Md Pa | Internal Medicine | 3390 Tamiami Trl, Suite 101, Port Charlotte, FL 33952-8157 | 2007-08-23 |
| 1346396801 | Philippe Noel | Internal Medicine | 3390 Tamiami Trl, Suite 204, Port Charlotte, FL 33952-8157 | 2007-01-26 |
| 1487745246 | Pamela Debus | Nurse Practitioner | 3390 Tamiami Trl, Ste 105, Port Charlotte, FL 33952-8157 | 2006-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| 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 |
|---|---|---|---|---|
| 1720469596 | Crystal Smedley | Urology | 2400 Harbor Blvd Ste 21, Port Charlotte, FL 33952-5038 | 2015-06-17 |
| 1164669404 | Jens C. Carlsen | Urology | 2525 Harbor Blvd Ste 301, Port Charlotte, FL 33952-5342 | 2009-01-08 |
| 1659569994 | Ekiong Chua Tan | Urology | 13435 S Mccall Rd Unit 16, Ste 397, Port Charlotte, FL 33981-6421 | 2007-10-11 |
| 1437697646 | Jens Christian Carlsen Do Pllc | Urology | 2525 Harbor Blvd, Ste. 301, Port Charlotte, FL 33952-5317 | 2017-02-08 |
| 1255741880 | Genesiscare Usa of Florida LLC | Urology | 21260 Olean Blvd, Suite 202a, Port Charlotte, FL 33952-6742 | 2014-05-05 |
| 1043465099 | Genesiscare Usa of Florida LLC | Urology | 3410 Tamiami Trl, Suite 4, Port Charlotte, FL 33952-8112 | 2008-11-18 |
| 1023193018 | Marc A. Melser, Md, Pl | Urology | 3410 Tamiami Trl, Suite 4, Port Charlotte, FL 33952-8112 | 2006-10-26 |
| 1063480085 | Marc A Melser | Urology | 3410 Tamiami Trl, Suite 4, Port Charlotte, FL 33952-8127 | 2006-03-08 |
| 1205818804 | Gary Lee Berger | Urology | 2400 Harbor Blvd, Suite 21, Port Charlotte, FL 33952-5052 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193450 | Urotelemedicine LLC | Urology | 8669 Nw 36th St Ste 325, Doral, FL 33166-6698 | 2020-08-06 |
| 1700411618 | Ackerman Cancer Center, Pa | Urology | 159 North 3rd St, Macclenny, FL 32063-2103 | 2020-03-11 |
| 1043844483 | Jesse Aaron Ory | Urology | 5555 Ponce De Leon Blvd Fl 4, Coral Gables, FL 33146-2513 | 2020-02-25 |
| 1215591565 | Advent Health | Urology | 420 Celebration Ave, Celebration, FL 34747-4683 | 2019-04-23 |
| 1710442264 | Urologic Specialists of Central Florida Pllc | Urology | 575 S Wickham Rd Ste A, West Melbourne, FL 32904-1170 | 2019-02-08 |
| 1578028197 | Prody Urology, Pllc | Urology | 575 S Wickham Rd Ste B, West Melbourne, FL 32904-1170 | 2019-02-07 |
| 1366916843 | Dr. Carolyn Langford Urologic Solutions, LLC | Urology | 9400 Gladiolus Dr Ste 30, Fort Myers, FL 33908-9615 | 2019-01-17 |
| 1376016568 | Advanced Innovative Urology Pa | Urology | 4737 N Ocean Dr Ste 103, Lauderdale By The Sea, FL 33308-2920 | 2019-01-10 |
| 1306314281 | Urology Consultants of Boca Raton Pa | Urology | 825 Meadows Rd Ste 111, Boca Raton, FL 33486-2347 | 2018-11-08 |
| 1013490309 | Seetharam Bhat Kulthe Ramesh | Urology | 401 Celebration Pl Ste 200, Celebration, FL 34747-4971 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
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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.