21ST CENTURY SPECIALTY PHYSICIANS MICHAEL J KATIN MD PC (NPI# 1124278650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124278650 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY SPECIALTY PHYSICIANS MICHAEL J KATIN MD PC |
| Other Organization Name | 21ST CENTURY ONCOLOGY |
| Practice Address |
52 N Pecos Rd Henderson NV 89074-7319 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 7029904767 |
| Practice Fax Number | 7029904766 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2008-09-20 |
| Last Update Date | 2008-09-20 |
| Authorized Official Name | MICHAEL J KATIN (CEO/PRESIDENT) |
| Authorized Official Telephone | 2399317277 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| 21st Century Oncology | Doing Business As Name - Organization |
| Street Address |
52 N PECOS RD |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-7319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174592927 | Paul K. Treadwell | Radiology | 52 N Pecos Rd, Henderson, NV 89074-7319 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023070042 | Pramod V. Prabhu | Radiology | 1401 N Elm St, Henderson, KY 42420-2784 | 2006-04-05 |
| 1174592927 | Paul K. Treadwell | Radiology | 52 N Pecos Rd, Henderson, NV 89074-7319 | 2006-03-15 |
| 1063890176 | Dlp Maria Parham Physician Practices LLC | Radiology | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2015-05-08 |
| 1053320424 | Matthew Schwartz | Radiology | 10001 S Eastern Ave, Suite 108, Henderson, NV 89052 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477196343 | Radiation Oncology Professional Associates LLC | Radiology | 1301 Bertha Howe Ave Ste 10, Mesquite, NV 89027-7503 | 2019-10-23 |
| 1962842781 | Garth William Tormoen | Radiology | 645 N Arlington Ave Ste 120, Reno, NV 89503-4441 | 2013-06-25 |
| 1437353828 | Daphne Palmer Md Professional Corporation | Radiology | 1155 Mill St L 11, Reno, NV 89502-1474 | 2007-06-12 |
| 1326261298 | Healthcare Partners Medical Group Coats Ltd. | Radiology | 8285 W. Arby Ave., Suite #100, Las Vegas, NV 89113-2239 | 2007-04-10 |
| 1063531473 | Carlos Lopez | Radiology | 624 S Tonopah Dr, Las Vegas, NV 89106-4029 | 2007-03-28 |
| 1578608899 | Michael K Tay | Radiology | 4820 Buckhaven Rd, Reno, NV 89519-0961 | 2007-02-21 |
| 1366599631 | Michael Kos | Radiology | 10745 Double R Blvd Bldg 13, Reno, NV 89521-8979 | 2007-01-05 |
| 1962410274 | Andrew M Cohen | Radiology | 7445 Peak Drive, Las Vegas, NV 89128 | 2006-08-03 |
| 1528076130 | Danny L Curtis | Radiology | 655 N Town Center Dr, Las Vegas, NV 89144 | 2006-08-03 |
| 1245268085 | Michael Thomas Sinopoli | Radiology | 7445 Peak Dr, Las Vegas, NV 89128 | 2006-06-29 |
| Find all providers with the same taxonomy | ||||
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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.