21ST CENTURY ONCOLOGY OF KENTUCKY LLC


Address: 1460 Bluegrass Ave, Louisville, KY 40215-1272
Phone: 5023618496

21ST CENTURY ONCOLOGY OF KENTUCKY LLC (NPI# 1922520808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922520808
Entity Type Organization
Organization Name 21ST CENTURY ONCOLOGY OF KENTUCKY LLC
Other Organization Name CANCER & BLOOD SPECIALISTS
Practice Address 1460 Bluegrass Ave
Louisville
KY 40215-1272
Mailing Address 2160 Colonial Blvd
Fort Myers
FL 33907-1410
Practice Telephone 5023618496
Practice Fax Number 5023613377
Mailing Telephone 2399317212
Mailing Fax Number 2399317385
Enumeration Date 2017-07-12
Last Update Date 2019-07-12
Authorized Official Name KIM COMMINS (CEO)
Authorized Official Telephone 2399317277
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RX0202X Internal Medicine
Specialization: Medical Oncology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Cancer & Blood Specialists Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1124008677 21st Century Oncology of Kentucky LLC Radiology 520 Techwood Drive N, Danville, KY 40422-8500 2006-01-20
1649779455 21st Century Oncology of Kentucky LLC Non-Pharmacy Dispensing Site 1460 Bluegrass Ave, Louisville, KY 40215-1272 2018-02-07

Office Location

Street Address 1460 BLUEGRASS AVE
City LOUISVILLE
State KY
Zip Code 40215-1272

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609876978 Michael G Carroll Internal Medicine 1460 Bluegrass Ave, Louisville, KY 40215-1272 2005-07-28
1669931259 American Oncology Partners, P.a. Internal Medicine 1460 Bluegrass Ave, Louisville, KY 40215-1272 2019-03-14
1649779455 21st Century Oncology of Kentucky LLC Non-Pharmacy Dispensing Site 1460 Bluegrass Ave, Louisville, KY 40215-1272 2018-02-07
1861545287 M G Carroll,& S P Sheth Ptrs Internal Medicine 1460 Bluegrass Ave, Louisville, KY 40215-1272 2007-01-19
1790710481 Mohammad I. Khan Internal Medicine 1460 Bluegrass Ave, Louisville, KY 40215-1272 2006-07-11
1316948995 Vijay M Raghavan Internal Medicine 1460 Bluegrass Ave, Louisville, KY 40215-1272 2005-08-09
1942201652 Subhash P Sheth Internal Medicine 1460 Bluegrass Ave, Louisville, KY 40215-1272 2005-08-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417473315 Robin Jones Behavioral Analyst 800 W. Woodlawn Ave, Louisville, KY 40215 2017-08-22
1316332448 Christopher Fenzel Emergency Medicine 1850 Bluegrass Avenue, Louisville, KY 40215 2015-04-06
1447661210 Khac Phuong Vu Dentist 3448 Taylor Boulevard, Louisville, KY 40215 2014-05-15
1619251238 Scott H Kaminsky Marriage & Family Therapist 3535 Taylor Blvd, Louisville, KY 40215 2011-09-30
1821313529 Taylor Blvd Chiropractic Chiropractor 3254 Taylor Blvd, Louisville, KY 40215 2010-04-06
1396985131 Jewish Hospital & St. Mary's Healthcare, Inc. Psychiatric Residential Treatment Facility 4419 Lasalle Ave, Louisville, KY 40215 2009-03-05
1841448735 Jewish Hospital & St. Mary's Healthcare, Inc. Psychiatric Residential Treatment Facility 4418 Malcolm Ave., Louisville, KY 40215 2008-09-04
1235329400 Thad R. Schulten Psc Dentist 4515 Churchman Ave., Louisville, KY 40215 2007-07-25
1801911680 Timothy John Lutes Dentist 3205 Taylor Blvd, Louisville, KY 40215 2007-03-20
1063557346 Louisville-jefferson County Metro Government Public Health or Welfare 4255 Hazelwood Avenue, Louisville, KY 40215 2007-02-21
Find all providers in zip 40215

Taxonomy Information

Taxonomy Code 207RX0202X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Medical Oncology

Taxonomy Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831561109 Portercare Adventist Health System Internal Medicine 80 Health Park Dr Ste 270, Louisville, CO 80027-4644 2015-10-27
1891824587 Michael Francis Driscoll Internal Medicine 2355 Poplar Level Rd, Suite 405, Louisville, KY 40217-1395 2007-03-05
1952369621 Don A Stevens Internal Medicine 3991 Dutchmans Ln, Suite 405, Louisville, KY 40207-4700 2006-05-03
1912965062 Thomas M Woodcock Internal Medicine 315 E Broadway, Louisville, KY 40202-3700 2006-05-01
1023075660 John T Hamm Internal Medicine 315 E Broadway, Louisville, KY 40202-1703 2006-04-27
1518924323 Muneeb Asim Choudry Internal Medicine 2355 Poplar Level Rd, Suite 405, Louisville, KY 40217-1395 2006-04-26
1053377291 Janell Seeger Internal Medicine 4950 Norton Healthcare Blvd, Suite 300, Louisville, KY 40241-2845 2006-04-25
1558335265 Paul J Arena Internal Medicine 100 E Liberty St, Suite 500, Louisville, KY 40202-1434 2006-02-17
1598738932 Renato V Larocca Internal Medicine 315 E Broadway, Louisville, KY 40202-3700 2006-02-08
1942201652 Subhash P Sheth Internal Medicine 1460 Bluegrass Ave, Louisville, KY 40215-1272 2005-08-03
Find all providers in LOUISVILLE

Competitor

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City LOUISVILLE
Zip Code 40215

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Dataset Information

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.

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