NORTH FLORIDA CANCER CENTER TALLAHASSEE LLC (NPI# 1952398448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952398448 |
| Entity Type | Organization |
| Organization Name | NORTH FLORIDA CANCER CENTER TALLAHASSEE LLC |
| Other Organization Name | CAPITAL REGIONAL CANCER CENTER |
| Practice Address |
2003 Centre Pointe Blvd Tallahassee FL 32308-4893 |
| Practice Telephone | 8508782273 |
| Practice Fax Number | 8506715900 |
| Mailing Telephone | 8508782273 |
| Mailing Fax Number | 8506715900 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2012-05-01 |
| Authorized Official Name | JOAN R GLADNEY (REGIONAL DIRECTOR) |
| Authorized Official Telephone | 3524746190 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 272084100 | 05 | |
| FL | RR MEDICARE | DD1687 | 01 |
| FL | BCBS OF FL | 21130 | 01 |
| Other Name | Type Code |
|---|---|
| Capital Regional Cancer Center | Doing Business As Name - Organization |
| Street Address |
2003 CENTRE POINTE BLVD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-4893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460285 | Timothy William Bolek | Radiology | 2003 Centre Pointe Blvd, Tallahassee, FL 32308-4893 | 2005-07-07 |
| 1770721466 | Physicians for A Community United for Research and Education LLC | Internal Medicine | 2003 Centre Pointe Blvd, Tallahassee, FL 32308-4893 | 2009-02-03 |
| 1427257823 | Eric Eui-sun Chung | Internal Medicine | 2003 Centre Pointe Blvd, Tallahassee, FL 32308-4893 | 2007-07-16 |
| 1306890322 | Dale Alan Wickstrum | Radiology | 2003 Centre Pointe Blvd, Tallahassee, FL 32308-4893 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| 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 |
|---|---|---|---|---|
| 1659349033 | North Florida Radiation Oncology Associates Pa | Radiology | 1775 One Healing Pl, Tmh Cancer Center, Tallahassee, FL 32308-4600 | 2006-03-10 |
| 1790786846 | Dhananjay Deodatta Bendre | Radiology | 1775 One Healing Place, Radiation Oncology Specialists, Tallahassee, FL 32308 | 2005-08-10 |
| 1568460285 | Timothy William Bolek | Radiology | 2003 Centre Pointe Blvd, Tallahassee, FL 32308-4893 | 2005-07-07 |
| 1306890322 | Dale Alan Wickstrum | Radiology | 2003 Centre Pointe Blvd, Tallahassee, FL 32308-4893 | 2006-05-22 |
| 1023078300 | Philip Vance Sharp | Radiology | 1775 One Healing Place, Tmhpp Radiation Oncology Specialists, Tallahassee, FL 32308 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539079 | Mydoctoreb LLC | Radiology | 17407 Lotino Pl, Lutz, FL 33548-4815 | 2020-08-20 |
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1962970111 | William A Assad, M.d. | Radiology | 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 | 2018-11-06 |
| 1508361361 | Marian Ingram | Radiology | 350 Nw 84th Ave Ste 102, Plantation, FL 33324-1820 | 2018-03-26 |
| 1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
| 1417492497 | Flagler Hospital, Inc. | Radiology | 97 Health Park Blvd, Saint Augustine, FL 32086-5777 | 2016-12-29 |
| 1447614441 | Benjamin Spieler | Radiology | 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 | 2016-04-06 |
| 1629461371 | Florida Oncology Tavares, LLC | Radiology | 2010 Nightingale Ln, Tavares, FL 32778-4361 | 2015-03-05 |
| 1285042036 | Gulf Region Radiation Oncology Centers | Radiology | 1545 Airport Blvd Ste 1000, Pensacola, FL 32504-8615 | 2014-07-24 |
| 1962812917 | Florida Oncology Partners LLC | Radiology | 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 | 2014-04-29 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on NORTH FLORIDA CANCER CENTER TALLAHASSEE 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.