21ST CENTURY ONCOLOGY LLC (NPI# 1861412074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861412074 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY ONCOLOGY LLC |
| Other Organization Name | NAPLES BREAST SURGERY CENTER |
| Practice Address |
730 Goodlette Rd N Suite 204 Naples FL 34102-5616 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 2392634499 |
| Practice Fax Number | 2392638992 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | KIM COMMINS (CEO) |
| Authorized Official Telephone | 2399317275 |
| Is Organization Subpart | Y |
| Parent Organization Name | RADIATION THERAPY SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Naples Breast Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740748706 | 21st Century Oncology LLC | Internal Medicine | 3651 Fau Blvd Ste 100, Boca Raton, FL 33431-6489 | 2019-03-08 |
| 1669701918 | 21st Century Oncology LLC | Urology | 1044 Goodlette Rd N, Naples, FL 34102-5449 | 2009-12-16 |
| 1790993632 | 21st Century Oncology LLC | Durable Medical Equipment & Medical Supplies | 1255 Viscaya Pkwy # 2, Suite 201, Cape Coral, FL 33990-3290 | 2007-05-21 |
| 1316426281 | 21st Century Oncology LLC | Durable Medical Equipment & Medical Supplies | 1200 E Broward Blvd, Fort Lauderdale, FL 33301-2134 | 2018-08-10 |
| 1922456722 | 21st Century Oncology LLC | Surgery | 10141 Forest Hill Blvd, Wellington, FL 33414-6103 | 2016-06-02 |
| 1568820363 | 21st Century Oncology LLC | Surgery | 3300 Us 27 S, Avon Park, FL 33825-9701 | 2016-02-08 |
| 1558729855 | 21st Century Oncology LLC | Surgery | 6405 N Federal Hwy, Suite 401, Fort Lauderdale, FL 33308-1412 | 2016-02-02 |
| 1730551227 | 21st Century Oncology LLC | Surgery | 1411 N Flagler Dr, Suite 7300, West Palm Beach, FL 33401-3404 | 2015-10-23 |
| 1679945158 | 21st Century Oncology LLC | Urology | 787 37th St, Suite E-200, Vero Beach, FL 32960-7305 | 2015-10-23 |
| 1871964916 | 21st Century Oncology LLC | Urology | 10115 Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2015-10-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | 21ST CENTURY ONCOLOGY LLC | 3651 Fau Blvd Ste 100, Boca Raton, FL 33431-6489 |
| Street Address |
730 GOODLETTE RD N SUITE 204 |
| City | NAPLES |
| State | FL |
| Zip Code | 34102-5616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407849581 | Morgan Medical Corp | Radiology | 730 Goodlette Rd N, Ste 101, Naples, FL 34102-5616 | 2005-08-24 |
| 1295276210 | Leon Mead Md Pa | Specialist | 730 Goodlette Rd N, Suite 201, Naples, FL 34102-5616 | 2017-03-09 |
| 1841679461 | E Sean Kelley Md LLC | Physical Medicine & Rehabilitation | 730 Goodlette Rd N, Suite 203, Naples, FL 34102-5616 | 2015-05-28 |
| 1417389883 | Naples Dental Studio, LLC | Dentist | 730 Goodlette Rd N, Suite 206, Naples, FL 34102-5616 | 2013-08-07 |
| 1871878405 | Fady N Labib Ibrahim | Physician Assistant | 730 Goodlette Rd N, Suite 100, Naples, FL 34102-5616 | 2011-10-14 |
| 1508045048 | Anchor Health Centers Pa | Physical Medicine & Rehabilitation | 730 Goodlette Rd N, Suite 203, Naples, FL 34102-5616 | 2007-11-01 |
| 1942337597 | Amy M O'brien | Physician Assistant | 730 Goodlette Rd N, Suite 201, Naples, FL 34102-5616 | 2007-02-28 |
| 1811098205 | Travis C Goss Jr. | Dentist | 730 Goodlette Rd N, Suite 206, Naples, FL 34102-5616 | 2006-09-26 |
| 1356387369 | Jan Forszpaniak | Surgery | 730 Goodlette Rd N, Suite 204, Naples, FL 34102-5616 | 2006-06-20 |
| 1902845266 | Steven E Smith | Psychologist | 730 Goodlette Rd N, Suite 100c, Naples, FL 34102-5616 | 2006-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
| 1912428632 | Daily Care At Home, LLC | Home Health | 180 9th Street South, Suite 200, Naples, FL 34102 | 2017-07-03 |
| 1760737365 | Family Private Care Inc | Home Health | 1008 Goodlette Frank Rd N, Ste 201, Naples, FL 34102 | 2012-07-19 |
| 1013205384 | Valerie Jean Bress | Nurse Practitioner | 350 7th Street, Naples Community Hospital, Naples, FL 34102 | 2011-07-20 |
| 1154573830 | Gustavo D Rivera | Internal Medicine | 1064 Goodlette Road, Naples, FL 34102 | 2008-10-14 |
| 1881872281 | Proscan Imaging Naples, LLC | Radiology | 260 Tamiami Trail N, Naples, FL 34102 | 2008-02-07 |
| 1053595017 | Marlene Ann Diaczynsky | Registered Nurse | 350 7th Street North, Naples Community Hospital, Naples, FL 34102 | 2007-12-26 |
| 1699958330 | Georgiena Cobb | Counselor | 501 Goodlette Rd, Naples, FL 34102 | 2007-12-17 |
| 1124210158 | Maranatha Home Care, Inc. | Registered Nurse | 1164 Goodlette Road, Naples, FL 34102 | 2007-08-14 |
| 1669678645 | Naples Family Dentistry Inc | Dentist | 2176 Tamiami Trail North, Naples, FL 34102 | 2007-06-26 |
| Find all providers in zip 34102 | ||||
| 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 |
|---|---|---|---|---|
| 1982079380 | Genesiscare Usa of Florida LLC | Surgery | 820 Goodlette-frank Rd N, Naples, FL 34102-5445 | 2015-12-10 |
| 1346627585 | Christopher Bashian | Surgery | 3320 Cayman Ln, Naples, FL 34119-1607 | 2015-04-27 |
| 1497168751 | Jonathan Ryan Obi | Surgery | 311 9th St N Ste 308, Naples, FL 34102-5889 | 2014-06-04 |
| 1528405644 | Catherine Dickinson | Surgery | U. S. Naval Hospital, Via Contrada Boscariello Gricignano Di Aversa, Naples, CAMPANIA 81030 | 2013-05-30 |
| 1033469804 | Sam Momtazee | Surgery | 1654 Chinaberry Ct., Naples, FL 34105-3050 | 2012-09-19 |
| 1235469461 | Ralph Arwood | Surgery | 1717 Gulf Shore Blvd N, Naples, FL 34102-4983 | 2010-01-11 |
| 1235397662 | Troy Lee Shell | Surgery | 7955 Airport Rd N Ste 100, Naples, FL 34109-1794 | 2008-06-02 |
| 1760570626 | Sharla Gayle Patterson | Surgery | 11181 Health Park Blvd Ste 2220, Naples, FL 34110-5734 | 2006-10-10 |
| 1265528319 | James M Scanlon | Surgery | 130 9th St N, Suite 120, Naples, FL 34102-6224 | 2006-10-05 |
| 1417048554 | Jacob Jordan | Surgery | 2335 Tamiami Trail N., Suite 501, Naples, FL 34103-4456 | 2006-09-27 |
| Find all providers in NAPLES | ||||
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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.