21ST CENTURY ONCOLOGY LLC (NPI# 1639547938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639547938 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY ONCOLOGY LLC |
| Other Organization Name | BENJAMIN M TRIPP MD |
| Practice Address |
5130 Linton Blvd Suite C-1 Delray Beach FL 33484-6596 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 5614998048 |
| Practice Fax Number | 5614998762 |
| Mailing Telephone | 2399317212 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | KIM COMMINS (CEO) |
| Authorized Official Telephone | 2399317277 |
| Is Organization Subpart | Y |
| Parent Organization Name | 21ST CENTURY ONCOLOGY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Benjamin M Tripp 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 |
5130 LINTON BLVD SUITE C-1 |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33484-6596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154320539 | Jack Edward Ressler | Podiatrist | 5130 Linton Blvd, Suite B5, Delray Beach, FL 33484-6596 | 2005-07-19 |
| 1285154286 | East Atlantic Surgical Group, Inc | Surgery | 5130 Linton Blvd, Suite G, Delray Beach, FL 33484-4566 | 2017-06-21 |
| 1578006060 | Luisa Maria Indiviglio | Physician Assistant | 5130 Linton Blvd, Suite H1, Delray Beach, FL 33484-6596 | 2016-12-01 |
| 1578938734 | Andrea Nicole Ristaino | Nurse Practitioner | 5130 Linton Blvd, Suite H-2, Delray Beach, FL 33484-6596 | 2015-12-14 |
| 1902288483 | She Ling Wong Md Pa | Surgery | 5130 Linton Blvd, Suite E-2, Delray Beach, FL 33484-6596 | 2015-06-22 |
| 1790177483 | Janet Scott | Clinical Nurse Specialist | 5130 Linton Blvd, Ste E-2, Delray Beach, FL 33484-6596 | 2015-03-04 |
| 1497177422 | Michelle Kaplan Md Pa | Psychiatry & Neurology | 5130 Linton Blvd, Suite B2, Delray Beach, FL 33484-6596 | 2014-01-10 |
| 1538423157 | Palm Beach Pain Institute Inc | Pain Medicine | 5130 Linton Blvd, Suite C-2, Delray Beach, FL 33484-6596 | 2012-06-28 |
| 1144592759 | Dmc Imaging LLC | Radiology | 5130 Linton Blvd, Delray Beach, FL 33484-6596 | 2012-01-30 |
| 1730485897 | Mdprevent Medical Group Pa | Psychologist | 5130 Linton Blvd, H-1, Delray Beach, FL 33484-6596 | 2011-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576127 | Christian Travis Wade Maxwell | Student in an Organized Health Care Education/Training Program | Fair Oaks Pavilion Rm 247, 5440 Linton Boulevard, Delray Beach, FL 33484 | 2020-04-03 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1164905741 | Dana Correnti | Physician Assistant | 5210 Linton Blvd Ste 301, Delray Beach, FL 33484 | 2018-09-10 |
| 1891207924 | Philip Craig Davidoff | Music Therapist | 13859b Via Aurora, Delray Beach, FL 33484 | 2017-10-30 |
| 1265943963 | Megan Elizabeth Garvey-henaka | Social Worker | 14000 S. Military Trail Suite 204a, Delray Beach, FL 33484 | 2017-10-20 |
| 1558726984 | Nena Reloj Neron | Physical Therapist | 16089 Poppyseed Cir Unit 2018, Delray Beach, FL 33484 | 2015-12-30 |
| 1427430354 | Hannah Ilene Cardarelli | Physician Assistant | 14555 Springside Ln, Delray Beach, FL 33484 | 2015-06-27 |
| 1689055782 | Genesis Critical Care Associates, LLC | Internal Medicine | 5352 Linton Boulevard, Delray Beach, FL 33484 | 2015-06-15 |
| 1679980288 | Ashley Susan Lennan | Chiropractor | 14590 S Military Trl Bay Stee5, Delray Beach, FL 33484 | 2014-07-15 |
| 1104257211 | Jaime Agustin Catala | Internal Medicine | 5130 Linton Blvd Ste G1, Delray Beach, FL 33484 | 2013-11-29 |
| Find all providers in zip 33484 | ||||
| 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 |
|---|---|---|---|---|
| 1073872586 | William H. Shaw | Urology | 5670 Vintage Oaks Circle, Delray Beach, FL 33484 | 2012-05-04 |
| 1508133711 | Urology Group of Florida LLC | Urology | 5350 W. Atlantic Ave, Suite 102, Delray Beach, FL 33484-8112 | 2011-11-17 |
| 1619177045 | Gilbert Allen Schnirman | Urology | 120 N Ocean Blvd, Delray Beach, FL 33483-7013 | 2007-07-24 |
| 1215987524 | Lawrence M Yore | Urology | 5350 W. Atlantice Avenue, Suite 102, Delray Beach, FL 33484-6596 | 2006-05-10 |
| 1104882240 | Ronald L Cohen | Urology | 13590 S Jog Rd, Ste 2, Delray Beach, FL 33446-3807 | 2006-04-26 |
| 1023018744 | Nathalie Martine Barnes | Urology | 5258 Linton Blvd, Suite 303, Delray Beach, FL 33484-6540 | 2005-07-22 |
| 1760488365 | Harvey Schoenbrum | Urology | 5258 Linton Blvd., Suite 105, Delray Beach, FL 33484-6564 | 2005-06-28 |
| 1831441948 | Urology Group of Florida LLC | Urology | 5350 W Atlantic Ave, 102, Delray Beach, FL 33484-8112 | 2012-10-12 |
| 1154649143 | Nathalie M Barnes, Md.pa | Urology | 5258 Linton Blvd, Suite 303, Delray Beach, FL 33484-6540 | 2010-05-14 |
| 1982877916 | Scott Luttge, M.d., P.a. | Urology | 5162 Linton Blvd, Suite 202, Delray Beach, FL 33484-6567 | 2008-04-10 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33484 |
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.