21ST CENTURY ONCOLOGY LLC (NPI# 1679945158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679945158 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY ONCOLOGY LLC |
| Other Organization Name | INDIAN RIVER UROLOGY ASSOCIATES |
| Practice Address |
787 37th St Suite E-200 Vero Beach FL 32960-7305 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 7725673003 |
| Practice Fax Number | 7725672926 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | KIM E 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 |
|---|---|
| Indian River Urology Associates | 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 |
| 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 |
787 37TH ST SUITE E-200 |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32960-7305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192657 | Paul T Bakule | Urology | 787 37th St, Ste E130, Vero Beach, FL 32960-7313 | 2005-05-24 |
| 1437522505 | Foot Seas Podiatry Inc | Podiatrist | 787 37th St, E220, Vero Beach, FL 32960-7305 | 2015-11-11 |
| 1508244856 | Foot Seas Podiatry Inc | Podiatrist | 787 37th St, Ste E220, Vero Beach, FL 32960-7305 | 2015-05-07 |
| 1205251410 | Vero Medical Specialists, Inc. | Orthopaedic Surgery | 787 37th St, Suite E170, Vero Beach, FL 32960-7305 | 2014-02-25 |
| 1356689731 | East Coast Surgical Specialties | Specialist/Technologist, Other | 787 37th St, Suite E170, Vero Beach, FL 32960-7305 | 2013-01-20 |
| 1316217615 | Mirjana Ramsey | Nurse Practitioner | 787 37th St, Suite E140, Vero Beach, FL 32960-7305 | 2012-01-04 |
| 1619262870 | Treasure Coast Cardiovascular Institute Inc | Internal Medicine | 787 37th St, Suite E260, Vero Beach, FL 32960-7305 | 2011-06-16 |
| 1528370996 | Antonio Mapalo | Physical Therapist | 787 37th St, Suite E-100, Vero Beach, FL 32960-7305 | 2010-07-13 |
| 1518279991 | Mayte Gomez | Occupational Therapy Assistant | 787 37th St, Suite E-100, Vero Beach, FL 32960-7305 | 2010-07-13 |
| 1578875944 | Amy A Raynor | Physical Therapy Assistant | 787 37th St, Suite E-100, Vero Beach, FL 32960-7305 | 2010-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
| 1972016103 | Rer Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2436 Us 1, Vero Beach, FL 32960 | 2017-11-09 |
| 1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
| 1407388978 | Haley Elizabeth Stewart | Counselor | 1925 20th Street, Vero Beach, FL 32960 | 2017-04-03 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1770957367 | Gail Jaffe Satuloff | Counselor | Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 | 2015-11-19 |
| 1104213172 | Kimberly Ann Aikey | Massage Therapist | 1715 37th Place #3, Vero Beach, FL 32960 | 2015-04-17 |
| 1992128482 | Jean Luc Franck | Internal Medicine | 920 37th Pl Ste 105, Vero Beach, FL 32960 | 2014-02-04 |
| 1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
| 1609203835 | Cynthia S. Crawford, M.d. Pa | Physical Medicine & Rehabilitation | 1986 35th Avenue, Vero Beach, FL 32960 | 2013-10-02 |
| Find all providers in zip 32960 | ||||
| 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 |
|---|---|---|---|---|
| 1275877235 | Paul T. Bakule, Md Pa | Urology | 787 37th St Ste E130, Vero Beach, FL 32960-7313 | 2012-11-15 |
| 1558557470 | J Robin Atwell,md Pa | Urology | 1355 37th St Ste 303, Vero Beach, FL 32960-7320 | 2007-09-25 |
| 1063611598 | Hugo Hernando Davila | Urology | 3730 7th Ter Ste 101, Vero Beach, FL 32960-6556 | 2007-07-14 |
| 1013921899 | David W Lazan Md Pa | Urology | 1600 36th Street, Suite B, Vero Beach, FL 32960 | 2006-07-28 |
| 1306878764 | Roy Carrington Mason Jr. | Urology | 3450 11th Ct Ste 303, Vero Beach, FL 32960 | 2006-07-07 |
| 1689661738 | Joseph Putnam Crawford | Urology | 1986 35th Ave, Vero Beach, FL 32960-2533 | 2005-10-04 |
| 1831192657 | Paul T Bakule | Urology | 787 37th St, Ste E130, Vero Beach, FL 32960-7313 | 2005-05-24 |
| 1376864108 | Indian River Health Services Inc | Urology | 3745 11th Circle, Suite 103, Vero Beach, FL 32960 | 2010-06-16 |
| 1164610895 | Indian River Urology Associates Pa | Urology | 787 37th St, Suite E200, Vero Beach, FL 32960-7305 | 2007-10-09 |
| 1568654655 | Robert Rappel | Urology | 1515 Indian River Blvd, Suite A-210, Vero Beach, FL 32960-5627 | 2007-08-13 |
| Find all providers in VERO BEACH | ||||
| City | VERO BEACH |
| Zip Code | 32960 |
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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.