21ST CENTURY ONCOLOGY LLC (NPI# 1558729855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558729855 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY ONCOLOGY LLC |
| Other Organization Name | NICHOLAS TRANAKAS MD |
| Practice Address |
6405 N Federal Hwy Suite 401 Fort Lauderdale FL 33308-1412 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 2399317342 |
| Practice Fax Number | 2399317385 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | KIM COMMINS (CEO) |
| Authorized Official Telephone | 2399317277 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | 21ST CENTURY ONCOLOGY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Nicholas Tranakas 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 |
| 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 |
| 1891166971 | 21st Century Oncology LLC | Surgery | 4000 Hollywood Blvd, Presidential Circle - Suite 160 North, Hollywood, FL 33021-6751 | 2015-10-14 |
| 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 |
6405 N FEDERAL HWY SUITE 401 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33308-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306201942 | North Broward Hospital District | Internal Medicine | 6405 N Federal Hwy, Suite 200, Fort Lauderdale, FL 33308-1412 | 2015-12-28 |
| 1710376215 | Ronald Haberle | Registered Nurse | 6405 N Federal Hwy, Suite 205, Fort Lauderdale, FL 33308-1412 | 2015-01-21 |
| 1962823559 | Florida Elite Medical Care Pa | Internal Medicine | 6405 N Federal Hwy, Suite 100, Fort Lauderdale, FL 33308-1412 | 2013-12-27 |
| 1457647141 | Lawrence F. Fass Md Pa | Specialist | 6405 N Federal Hwy, Suite 101, Fort Lauderdale, FL 33308-1412 | 2011-06-22 |
| 1225264583 | Aids Healthcare Foundation | Pharmacy | 6405 N Federal Hwy, Suite 205, Fort Lauderdale, FL 33308-1412 | 2009-06-01 |
| 1922244250 | Aids Healthcare Foundation | Clinic/Center | 6405 N Federal Hwy, Suite 205, Fort Lauderdale, FL 33308-1412 | 2008-12-16 |
| 1336319334 | Ropos Rheumatology Association Pl | Internal Medicine | 6405 N Federal Hwy, Suite 103, Fort Lauderdale, FL 33308-1412 | 2008-03-05 |
| 1669640389 | Fort Lauderdale Psychiatric Services Pa | Psychiatry & Neurology | 6405 N Federal Hwy, 103, Fort Lauderdale, FL 33308-1412 | 2008-02-15 |
| 1568647139 | Broward Surgical Associates Inc | Specialist | 6405 N Federal Hwy, 401, Fort Lauderdale, FL 33308-1412 | 2008-01-02 |
| 1558544411 | Elise Susan Gates | Counselor | 6405 N Federal Hwy, #402, Fort Lauderdale, FL 33308-1412 | 2007-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174170914 | Vip Surgeries | Surgery | 1301 E Broward Blvd Ste 220, Fort Lauderdale, FL 33301-2111 | 2019-08-26 |
| 1588988000 | Jose Simon Lozada | Surgery | 6405 N Federal Hwy Ste 401, Fort Lauderdale, FL 33308-1421 | 2010-03-26 |
| 1063652246 | Arthur I. Segaul | Surgery | 200 Ne 14th Ave Apt 4, Fort Lauderdale, FL 33301-1721 | 2009-02-27 |
| 1619127859 | Samuel F Cox Md Pa | Surgery | 6278 North Federal Hwy, Suite 302, Fort Lauderdale, FL 33308-1916 | 2008-09-24 |
| 1609040039 | Alia Abdulla | Surgery | 1005 Marina Mile Blvd Ste 515, Fort Lauderdale, FL 33315-2433 | 2008-04-16 |
| 1447379649 | Theodore Charles Lescher | Surgery | 5211 Ne 31st Ave, Fort Lauderdale, FL 33308 | 2007-03-28 |
| 1891709291 | Richard Dwayne Schultz | Surgery | 2001 Ne 48 Court, Ste 2, Fort Lauderdale, FL 33308 | 2006-07-28 |
| 1497719710 | Ron Arison Md Pl LLC | Surgery | 2438 E Commercial Blvd, Fort Lauderdale, FL 33308-4040 | 2006-04-13 |
| 1699773341 | Ralph Guarneri | Surgery | 1508 Se 3rd Ave, Fort Lauderdale, FL 33316-2502 | 2005-07-07 |
| 1477115103 | North Broward Hospital District | Surgery | 6405 N Federal Hwy Ste 401, Fort Lauderdale, FL 33308-1421 | 2019-07-02 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
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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.