21ST CENTURY ONCOLGY LLC (NPI# 1336642545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336642545 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY ONCOLGY LLC |
| Other Organization Name | BLACKWELL BREAST SURGER |
| Practice Address |
7451 Gladiolus Dr Fort Myers FL 33908-5193 |
| Mailing Address |
2160 Colonial Blvd Fort Myers FL 33907-1410 |
| Practice Telephone | 2399317212 |
| Practice Fax Number | 2399317385 |
| Mailing Telephone | 2399317212 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | KIM COMMINS (CEO) |
| Authorized Official Telephone | 2399317275 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Blackwell Breast Surger | Doing Business As Name - Organization |
| Street Address |
7451 GLADIOLUS DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-5193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538185939 | Veronique Fernandez-salvador | Urology | 7451 Gladiolus Dr, Fort Myers, FL 33908-5193 | 2006-07-15 |
| 1609383942 | Anna Dunn | Physician Assistant | 7451 Gladiolus Dr, Fort Myers, FL 33908-5193 | 2018-01-09 |
| 1578913992 | Keri Mack | Physician Assistant | 7451 Gladiolus Dr, Fort Myers, FL 33908 | 2016-06-16 |
| 1376752501 | 21st Century Oncology LLC | Durable Medical Equipment & Medical Supplies | 7451 Gladiolus Dr, Fort Myers, FL 33908-5193 | 2007-05-22 |
| 1114076171 | Genesiscare Usa of Florida LLC | Urology | 7451 Gladiolus Dr, Fort Myers, FL 33908-5193 | 2007-01-09 |
| 1851483713 | Brian N Schwartz | Urology | 7451 Gladiolus Dr, Fort Myers, FL 33908-5193 | 2006-09-29 |
| 1952493280 | Florida Urology Physicians | Urology | 7451 Gladiolus Dr, Fort Myers, FL 33908-5193 | 2006-09-28 |
| 1861583197 | Ira A Zucker | Urology | 7451 Gladiolus Dr, Fort Myers, FL 33908-5193 | 2006-09-28 |
| 1598857864 | Steven A Harrison | Urology | 7451 Gladiolus Dr, Fort Myers, FL 33908-5193 | 2006-09-28 |
| 1043302383 | Barry F Blitz | Urology | 7451 Gladiolus Dr, Fort Myers, FL 33908-5193 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301263 | Heather Marie Gable | Surgery | 6150 Diamond Centre Ct # 1300, Fort Myers, FL 33912-4367 | 2020-09-21 |
| 1891036810 | Genesiscare Usa of Florida LLC | Surgery | 13691 Metro Pkwy Ste 350, Metro Medical Plaza, Fort Myers, FL 33912-4351 | 2013-03-15 |
| 1780967430 | Surgical Healing Arts Center, LLC | Surgery | 6150 Diamond Centre Court, Suite 1301, Fort Myers, FL 33912 | 2011-09-20 |
| 1649413907 | Bart Stanley Cuderman | Surgery | 14640 Double Eagle Ct, Fort Myers, FL 33912-1716 | 2009-04-15 |
| 1780835959 | Surgical Consultants of Southwest Florida, LLC | Surgery | 4519 Tilton Ct, Fort Myers, FL 33907-1214 | 2008-10-07 |
| 1912161670 | Brian D Kurland M D P A | Surgery | 13782 Plantation Rd Ste 103, Fort Myers, FL 33912 | 2008-07-11 |
| 1740490002 | Bruce Cleaveland Bacon | Surgery | 6932 Old Whiskey Creek Dr, Fort Myers, FL 33919-1827 | 2007-05-23 |
| 1346468170 | Claude P Lieber | Surgery | 482 Keenan Ct, Fort Myers, FL 33919-3110 | 2007-04-24 |
| 1588782585 | Gilbert Abou Lahoud | Surgery | 6150 Diamond Centre Ct Unit 1200, Fort Myers, FL 33912 | 2007-03-27 |
| 1760580054 | David T Rideout | Surgery | 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 | 2006-09-20 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on 21ST CENTURY ONCOLGY LLC.
| 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.