21ST CENTURY ONCOLOGY LLC (NPI# 1871964916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871964916 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY ONCOLOGY LLC |
| Other Organization Name | JERRY H SINGER MD |
| Practice Address |
10115 Forest Hill Blvd Suite 100 Wellington FL 33414-3105 |
| Mailing Address |
2160 Colonial Blvd Fort Myers FL 33907-1410 |
| Practice Telephone | 5613331118 |
| Practice Fax Number | 5613332220 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | DAN COLLINS (PRESIDENT) |
| Authorized Official Telephone | 2399317275 |
| Is Organization Subpart | Y |
| Parent Organization Name | GENESISCARE USA INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Jerry H Singer 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 |
| 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 |
10115 FOREST HILL BLVD SUITE 100 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376545665 | Jerry Herbert Singer | Urology | 10115 Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2005-06-01 |
| 1487194981 | Travel Medicine & Infectious Diseases of The Palm Beaches LLC | Internal Medicine | 10115 Forest Hill Blvd, Suite 102, Wellington, FL 33414-3105 | 2017-03-02 |
| 1417407446 | Erika Ruiz | Nurse Practitioner | 10115 Forest Hill Blvd, Ste 101, Wellington, FL 33414-3105 | 2016-10-13 |
| 1750751996 | Teresa R Budny | Audiologist | 10115 Forest Hill Blvd, Suite 103, Wellington, FL 33414-3105 | 2015-09-30 |
| 1740692615 | Amy Herrod | Nurse Practitioner | 10115 Forest Hill Blvd, Suite 200, Wellington, FL 33414-3105 | 2014-05-27 |
| 1245653971 | Abbi Pawelkoski | Dietitian, Registered | 10115 Forest Hill Blvd, Suite 300, Wellington, FL 33414-3105 | 2014-01-31 |
| 1508112202 | Faris J. Fakhoury, Md, Pa | Neurological Surgery | 10115 Forest Hill Blvd, Suite 405, Wellington, FL 33414-3105 | 2012-07-31 |
| 1568722528 | Jessica Ann Clark | Obstetrics & Gynecology | 10115 Forest Hill Blvd, Suite 300, Wellington, FL 33414-3105 | 2012-05-24 |
| 1538462304 | Lake Worth Pain Center, Pa | Specialist | 10115 Forest Hill Blvd, Suite 102, Wellington, FL 33414-6178 | 2010-12-16 |
| 1255647475 | Patricia A Masse Md LLC | Surgery | 10115 Forest Hill Blvd, Suite 104, Wellington, FL 33414-3105 | 2010-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| 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 |
|---|---|---|---|---|
| 1376545665 | Jerry Herbert Singer | Urology | 10115 Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2005-06-01 |
| 1306215868 | Genesiscare Usa of Florida LLC | Urology | 3347 State Road 7, Suite 101, Wellington, FL 33449-8148 | 2015-09-15 |
| 1083984744 | Sfm Urology II | Urology | 3347 State Road 7, Suite 101, Wellington, FL 33449-8095 | 2012-01-11 |
| 1285913848 | All Women Urology Pa | Urology | 10115 Forest Hill Blvd Ste 101, Wellington, FL 33414-6178 | 2011-08-12 |
| 1861624801 | South Florida Medicine LLC | Urology | 3343 State Road 7, Wellington, FL 33449 | 2009-08-10 |
| 1154593689 | Sean Lall Sawh | Urology | 3347 State Road 7, Suite 101, Wellington, FL 33449-8095 | 2008-03-25 |
| 1588875678 | Fred Muhletaler | Urology | 3347 State Road 7, Suite 101, Wellington, FL 33449-8095 | 2007-05-24 |
| 1558379313 | Hugo Hernandez | Urology | 10111 W Forest Hill Blvd, #200, Wellington, FL 33414-6108 | 2006-08-04 |
| 1629096540 | Georgis Patsias Md Pa | Urology | 1397 Medical Park Blvd, Suite 260, Wellington, FL 33414-6108 | 2006-07-18 |
| 1912957903 | Steven Joseph Varady | Urology | 3347 State Road 7, Suite 101, Wellington, FL 33449-8095 | 2006-05-11 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
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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.