Tracy B Gapin (NPI# 1841387206, PAC ID# 0345213682) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1841387206 |
PAC ID by PECOS | 0345213682 |
Professional Enrollment ID | I20040816000935 |
Full Name | Tracy B Gapin |
Organization Legal Name | 21ST CENTURY ONCOLOGY, LLC |
Address |
1040 River Heritage Blvd Unit 202 Bradenton FL 34212-6348 |
Phone Number | 9413097000 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
Graduation Year | 1998 |
Primary Specialty | UROLOGY |
Group Practice PAC ID | 9830082882 |
Number of Group Practice Members | 297 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100087 | SARASOTA MEMORIAL HOSPITAL |
100166 | DOCTORS HOSPITAL OF SARASOTA |
100299 | LAKEWOOD RANCH MEDICAL CENTER |
100070 | VENICE REGIONAL BAYFRONT HEALTH |
Address | Phone | Organization |
---|---|---|
1040 River Heritage Blvd, Unit 202, Bradenton, FL 34212-6348 | 9413097000 | 21ST CENTURY ONCOLOGY, LLC |
571 Medical Dr, Englewood, FL 34223-3996 | 9416251550 | 21ST CENTURY ONCOLOGY, LLC |
1 S School Ave, Sarasota, FL 34237-6047 | 9413097000 | 21ST CENTURY ONCOLOGY, LLC |
842 Sunset Lake Blvd, Suite 403, Venice, FL 34292-7553 | 9414857677 | 21ST CENTURY ONCOLOGY, LLC |
Organization Legal Name | 21ST CENTURY ONCOLOGY, LLC |
Physicians | 306 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sandra E Marrero Ortiz | General Surgery | 21st Century Oncology, LLC | 720 Doctors Dr, Englewood, FL 34223-3992 |
Eihab Akary | Urology | 21st Century Oncology, LLC | 3325 S Tamiami Trl, Suite 200, Sarasota, FL 34239-5114 |
Aimiee Michelle Cruz | Nurse Practitioner | 21st Century Oncology, LLC | 16420 Healthpark Commons Dr, Suite 100, Fort Myers, FL 33908-9621 |
Staci Lin Mitchell | Nurse Practitioner | 21st Century Oncology, LLC | 842 Sunset Lake Blvd, Suite 403, Venice, FL 34292-7553 |
Nicole B Houle | Nurse Practitioner | 21st Century Oncology, LLC | 1419 Se 8th Ter, Cape Coral, FL 33990-3213 |
Geoffrey Alan Geiger | Radiation Oncology | 21st Century Oncology, LLC | 3426 N Roosevelt Blvd, Key West, FL 33040-4224 |
Ashok V.s. Kumar | Hematology/oncology | 21st Century Oncology, LLC | 12741 Miramar Pkwy, Suite 306, Miramar, FL 33027-2905 |
Donna L Irving | Nurse Practitioner | 21st Century Oncology, LLC | 28930 Trails Edge Boulevard, Suite 200, Bonita Springs, FL 34134-7582 |
Aurora Y Luna | Diagnostic Radiology | 21st Century Oncology, LLC | 1311 N University Dr, Coral Springs, FL 33071-6622 |
Elizabeth A Arguelles | General Surgery | 21st Century Oncology, LLC | 733 4th Ave N, Naples, FL 34102-5731 |
Street Address |
1040 RIVER HERITAGE BLVD UNIT 202 |
City | BRADENTON |
State | FL |
Zip | 34212-6348 |
Name | Specialty | Organization | Address |
---|---|---|---|
Andrew Burg | Family Medicine | Smh Physician Services Inc | 1040 River Heritage Blvd, Unit 204, Bradenton, FL 34212-6348 |
Kr Byju | Gastroenterology | Florida Digestive Health Specialists, LLP | 1040 River Heritage Blvd, Unit 202, Bradenton, FL 34212-6348 |
Andrzej Kucharski | Family Medicine | Smh Physician Services Inc | 1040 River Heritage Blvd, Unit 204, Bradenton, FL 34212-6348 |
Karen Bigby | Family Medicine | Smh Physician Services Inc | 1040 River Heritage Blvd, Unit 204, Bradenton, FL 34212-6348 |
Melissa B Boudreaux | Physician Assistant | Smh Physician Services Inc | 1040 River Heritage Blvd, Bradenton, FL 34212-6348 |
Cian Drewry | Physician Assistant | Ambulatory Care Physicians of Sarasota LLC | 1040 River Heritage Blvd, Bradenton, FL 34212-6348 |
Jennifer Messer | Physician Assistant | Ambulatory Care Physicians of Sarasota LLC | 1040 River Heritage Blvd, Bradenton, FL 34212-6348 |
Name | Specialty | Organization | Address |
---|---|---|---|
Laure Weissman | Speech Language Pathologist | 126 Babbling Brook Run, Bradenton, FL 34212-3008 | |
Mario E Litano | General Practice | Manatee Physician Alliance LLC | 9908 Sr 64, Bradenton, FL 34212-5303 |
John Thomas Super | Psychologist, Clinical | 9906 State Rd 64, Bradenton, FL 34212-5303 | |
Judy Humphreys | Nurse Practitioner | Manatee Physician Alliance LLC | 9908 Sr 64, Bradenton, FL 34212-5303 |
Lindsay Jane Montague | Oral Surgery | Patricia Devilliers Dds PC Co | 14730 2nd Ave Cir Ne, Bradenton, FL 34212-5577 |
Patricia Devilliers | Oral Surgery | Patricia Devilliers Dds PC Co | 14730 2nd Ave Cir Ne, Bradenton, FL 34212-5577 |
Indu S Menon | Internal Medicine | Manatee Physician Alliance LLC | 1854 Rye Rd E, Unit E, Bradenton, FL 34212-9038 |
Jose V Briceno | Family Medicine | 1838 Rye Rd, Suite 107, Bradenton, FL 34212-9038 | |
Kristin B Kulju | Chiropractic | 1850 Rye Rd, Bradenton, FL 34212-9038 |
City | BRADENTON |
Zip Code | 34212 |
Specialty | UROLOGY |
City + Specialty | BRADENTON + UROLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.