21ST CENTURY ONCOLOGY OF KENTUCKY LLC (NPI# 1922520808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922520808 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY ONCOLOGY OF KENTUCKY LLC |
| Other Organization Name | CANCER & BLOOD SPECIALISTS |
| Practice Address |
1460 Bluegrass Ave Louisville KY 40215-1272 |
| Mailing Address |
2160 Colonial Blvd Fort Myers FL 33907-1410 |
| Practice Telephone | 5023618496 |
| Practice Fax Number | 5023613377 |
| Mailing Telephone | 2399317212 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | KIM COMMINS (CEO) |
| Authorized Official Telephone | 2399317277 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cancer & Blood Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124008677 | 21st Century Oncology of Kentucky LLC | Radiology | 520 Techwood Drive N, Danville, KY 40422-8500 | 2006-01-20 |
| 1649779455 | 21st Century Oncology of Kentucky LLC | Non-Pharmacy Dispensing Site | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2018-02-07 |
| Street Address |
1460 BLUEGRASS AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215-1272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609876978 | Michael G Carroll | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2005-07-28 |
| 1669931259 | American Oncology Partners, P.a. | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2019-03-14 |
| 1649779455 | 21st Century Oncology of Kentucky LLC | Non-Pharmacy Dispensing Site | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2018-02-07 |
| 1861545287 | M G Carroll,& S P Sheth Ptrs | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2007-01-19 |
| 1790710481 | Mohammad I. Khan | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2006-07-11 |
| 1316948995 | Vijay M Raghavan | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2005-08-09 |
| 1942201652 | Subhash P Sheth | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831561109 | Portercare Adventist Health System | Internal Medicine | 80 Health Park Dr Ste 270, Louisville, CO 80027-4644 | 2015-10-27 |
| 1891824587 | Michael Francis Driscoll | Internal Medicine | 2355 Poplar Level Rd, Suite 405, Louisville, KY 40217-1395 | 2007-03-05 |
| 1952369621 | Don A Stevens | Internal Medicine | 3991 Dutchmans Ln, Suite 405, Louisville, KY 40207-4700 | 2006-05-03 |
| 1912965062 | Thomas M Woodcock | Internal Medicine | 315 E Broadway, Louisville, KY 40202-3700 | 2006-05-01 |
| 1023075660 | John T Hamm | Internal Medicine | 315 E Broadway, Louisville, KY 40202-1703 | 2006-04-27 |
| 1518924323 | Muneeb Asim Choudry | Internal Medicine | 2355 Poplar Level Rd, Suite 405, Louisville, KY 40217-1395 | 2006-04-26 |
| 1053377291 | Janell Seeger | Internal Medicine | 4950 Norton Healthcare Blvd, Suite 300, Louisville, KY 40241-2845 | 2006-04-25 |
| 1558335265 | Paul J Arena | Internal Medicine | 100 E Liberty St, Suite 500, Louisville, KY 40202-1434 | 2006-02-17 |
| 1598738932 | Renato V Larocca | Internal Medicine | 315 E Broadway, Louisville, KY 40202-3700 | 2006-02-08 |
| 1942201652 | Subhash P Sheth | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2005-08-03 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
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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.