Grant I Disick (NPI# 1639236797, PAC ID# 5294828331) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1639236797 |
| PAC ID by PECOS | 5294828331 |
| Professional Enrollment ID | I20081212000547 |
| Full Name | Grant I Disick |
| Organization Legal Name | 21ST CENTURY ONCOLOGY, LLC |
| Address |
9970 Central Park Blvd N Suite 207 Boca Raton FL 33428-2236 |
| Phone Number | 5614875506 |
| Gender | M |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| 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 |
|---|---|
| 100268 | WEST BOCA MEDICAL CENTER |
| 100258 | DELRAY MEDICAL CENTER |
| 100168 | BOCA RATON REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9970 Central Park Blvd N, Suite 207, Boca Raton, FL 33428-2236 | 5614875506 | 21ST CENTURY ONCOLOGY, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 91% | |
| ACI_EC_TRANS_EP_1 | e-Prescribing | 91% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 89% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 89% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 98% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 98% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 3% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 3% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 87% | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 87% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% |
| 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 |
9970 CENTRAL PARK BLVD N SUITE 207 |
| City | BOCA RATON |
| State | FL |
| Zip | 33428-2236 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sunil C Patel | Hematology/oncology | 21st Century Oncology, LLC | 9970 Central Park Blvd N, Suite 304, Boca Raton, FL 33428-2237 |
| Elizabeth Nicole Polsinelli | Internal Medicine | Tenet Florida Physician Services LLC | 9970 Central Park Blvd N, Suite 205, Boca Raton, FL 33428-2236 |
| Elena Kruglyak | Internal Medicine | 21st Century Oncology, LLC | 9970 Central Park Blvd N, Suite 304, Boca Raton, FL 33428-2237 |
| Dominik M Chrzan | Family Medicine | Ima of South Florida LLC | 9970 Central Park Blvd N, Suite 102, Boca Raton, FL 33428-2236 |
| Mitchell E Goldstein | Family Medicine | Tenet Florida Physician Services LLC | 9970 Central Park Blvd N, Suite 205, Boca Raton, FL 33428-2236 |
| Samarth Lakshmaiah Reddy | Hematology/oncology | 21st Century Oncology, LLC | 9970 Central Park Blvd N, Suite 304, Boca Raton, FL 33428-2237 |
| Scott A Berger | Pain Management | Scott A Berger Md Pa | 9970 Central Park Blvd N, Suite 401, Boca Raton, FL 33428-2231 |
| Lavilia Y Toussaint | Certified Registered Nurse Anesthetist | Scott A Berger Md Pa | 9970 Central Park Blvd N, Boca Raton, FL 33428-2231 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dena R Barash | Clinical Social Worker | 7100 W Camino Real, Suite 401, Boca Raton, FL 33428-1248 | |
| Jodi A Fiedler | Dermatology | Skin and Cancer Associates | 21020 State Rd, 7 Suite 120, Boca Raton, FL 33428-1320 |
| Mindy S Bohrer | Medical Oncology | 21st Century Oncology, LLC | 21020 State Rd, Boca Raton, FL 33428-1320 |
| Shari Topper | Dermatology | Skin and Cancer Associates | 21020 State Rd, 7 Suite 120, Boca Raton, FL 33428-1320 |
| Ashley Hynes | Physician Assistant | Dermpartners Inc | 21020 State Rd, 7 Suite 120, Boca Raton, FL 33428-1320 |
| Douglas R Leeman | Physician Assistant | Total Vein and Skin LLC | 20937 Lyons Rd, Boca Raton, FL 33428-1423 |
| Jay H Brachfeld | Dermatology | Jay H Brachfeld Md Pa | 20933 Lyons Rd, Boca Raton, FL 33428-1423 |
| Dori F Barenholtz | Physical Therapy | 20929 Lyons Rd, Boca Raton, FL 33428-1423 | |
| Andrew Sorial | Psychiatry | Boca Raton Psychiatry, LLC | 9980 N Central Park Blvd, Suite 210, Boca Raton, FL 33428-1703 |
| Renato V Ocampo Jr. | Plastic and Reconstructive Surgery | 9980 Central Park N Blvd, Suite 108, Boca Raton, FL 33428-1703 | |
| Find all physicians in zip 33428 | |||
| City | BOCA RATON |
| Zip Code | 33428 |
| Specialty | UROLOGY |
| City + Specialty | BOCA RATON + UROLOGY |
Please comment or provide details below to improve the information on Grant I Disick.
| 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.