AXIS RADIATION ONCOLOGY, LLC (NPI# 1396398756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396398756 |
| Entity Type | Organization |
| Organization Name | AXIS RADIATION ONCOLOGY, LLC |
| Practice Address |
15681 New Hampshire Ct Fort Myers FL 33908-4123 |
| Practice Telephone | 2394371977 |
| Practice Fax Number | 2394371889 |
| Mailing Telephone | 2394371977 |
| Mailing Fax Number | 2394371889 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | JAMES H RUBENSTEIN (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2394371977 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
15681 NEW HAMPSHIRE CT |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994999 | Michael J. Katin | Radiology | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2005-07-05 |
| 1730506213 | Debbie Slipkovich | Nurse Practitioner | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2014-03-24 |
| 1124322649 | Diane G Cope | Nurse Practitioner | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2010-12-23 |
| 1457654162 | Rhonda K. Karl | Nurse Practitioner | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2010-12-20 |
| 1184927808 | Joan M Gibble | Nurse Practitioner | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2010-12-20 |
| 1063713824 | Marquis Pease | Physician Assistant | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2010-11-10 |
| 1720303589 | Arie P. Dosoretz | Radiology | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2010-04-05 |
| 1225064520 | Florida Cancer Specialists P L | Internal Medicine | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2006-06-25 |
| 1336119551 | Danielle J. Francis | Nurse Practitioner | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2006-01-23 |
| 1184607624 | Michael G. Raymond | Internal Medicine | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2005-11-29 |
| 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 | 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 |
|---|---|---|---|---|
| 1609873785 | Patrick M Francke | Radiology | 2234 Colonial Blvd, Fort Myers, FL 33907-1412 | 2005-07-05 |
| 1811994999 | Michael J. Katin | Radiology | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2005-07-05 |
| 1043214539 | Peter H. Blitzer | Radiology | 7341 Gladiolus Dr, Fort Myers, FL 33908-5122 | 2005-06-13 |
| 1720303589 | Arie P. Dosoretz | Radiology | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2010-04-05 |
| 1609079151 | Jason T Shumadine | Radiology | 7341 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2007-06-11 |
| 1619043700 | May Lynne Foo | Radiology | 7341 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2006-11-28 |
| 1922098045 | Alan L Brown Jr. | Radiology | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2005-10-28 |
| 1194710384 | James H. Rubenstein | Radiology | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2005-09-14 |
| 1356348072 | Keith L. Miller | Radiology | 7341 Gladiolus Dr, Fort Myers, FL 33908-5122 | 2005-07-07 |
| 1750388849 | Graciela R. Garton | Radiology | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2005-07-05 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
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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.