Patrick Villicana (NPI# 1952479008, PAC ID# 0345383667) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1952479008 |
| PAC ID by PECOS | 0345383667 |
| Professional Enrollment ID | I20100208000622 |
| Full Name | Patrick Villicana |
| Organization Legal Name | 21ST CENTURY ONCOLOGY, LLC |
| Address |
350 Nw 84th Ave Suite 300 Plantation FL 33324-1859 |
| Phone Number | 9544742929 |
| Gender | M |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 9830082882 |
| Number of Group Practice Members | 297 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100228 | WESTSIDE REGIONAL MEDICAL CENTER |
| 100224 | UNIVERSITY HOSPITAL AND MEDICAL CENTER |
| 100167 | PLANTATION GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3501 Health Ctr Blvd, Suite 2145, Estero, FL 34135-8134 | 2392750728 | 21ST CENTURY ONCOLOGY, LLC |
| 730 Goodlette Rd N, Suite 201, Naples, FL 34102-5618 | 2392634499 | 21ST CENTURY ONCOLOGY, LLC |
| 180 Sw 84th Ave, Suite A, Plantation, FL 33324-2731 | 9544742929 | 21ST CENTURY ONCOLOGY, LLC |
| 350 Nw 84th Ave, Suite 300, Plantation, FL 33324-1859 | 9544742929 | 21ST CENTURY ONCOLOGY, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 79% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 97% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 100% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 1% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 91% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% |
| Organization Legal Name | 21ST CENTURY ONCOLOGY, LLC |
| Physicians | 306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra E Marrero Ortiz | General Surgery | 21st Century Oncology, LLC | 720 Doctors Dr, Englewood, FL 34223-3992 |
| Eihab Akary | Urology | 21st Century Oncology, LLC | 3325 S Tamiami Trl, Suite 200, Sarasota, FL 34239-5114 |
| Aimiee Michelle Cruz | Nurse Practitioner | 21st Century Oncology, LLC | 16420 Healthpark Commons Dr, Suite 100, Fort Myers, FL 33908-9621 |
| Staci Lin Mitchell | Nurse Practitioner | 21st Century Oncology, LLC | 842 Sunset Lake Blvd, Suite 403, Venice, FL 34292-7553 |
| Nicole B Houle | Nurse Practitioner | 21st Century Oncology, LLC | 1419 Se 8th Ter, Cape Coral, FL 33990-3213 |
| Geoffrey Alan Geiger | Radiation Oncology | 21st Century Oncology, LLC | 3426 N Roosevelt Blvd, Key West, FL 33040-4224 |
| Ashok V.s. Kumar | Hematology/oncology | 21st Century Oncology, LLC | 12741 Miramar Pkwy, Suite 306, Miramar, FL 33027-2905 |
| Donna L Irving | Nurse Practitioner | 21st Century Oncology, LLC | 28930 Trails Edge Boulevard, Suite 200, Bonita Springs, FL 34134-7582 |
| Aurora Y Luna | Diagnostic Radiology | 21st Century Oncology, LLC | 1311 N University Dr, Coral Springs, FL 33071-6622 |
| Elizabeth A Arguelles | General Surgery | 21st Century Oncology, LLC | 733 4th Ave N, Naples, FL 34102-5731 |
| Street Address |
350 NW 84TH AVE SUITE 300 |
| City | PLANTATION |
| State | FL |
| Zip | 33324-1859 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Walter M Ryan Iii | Allergy/immunology | Allergy and Asthma Associates of South Florida Pa | 350 Nw 84th Ave, 205 Florida Center for Allergy and Asthma Care, Plantation, FL 33324-1859 |
| Morris V Epstein | Family Medicine | Associates In Family Practice of Broward LLC | 350 Nw 84th Ave, Suite 200b, Plantation, FL 33324-1817 |
| John W N Foster | Family Medicine | 350 Nw 84th Ave, Suite 108, Plantation, FL 33324-1847 | |
| Howard Mark Ruskin | Neurology | Associates In Family Practice of Broward LLC | 350 Nw 84th Ave, Suite 109, Plantation, FL 33324-1847 |
| Cindy H Katanick | Family Medicine | Associates In Family Practice of Broward LLC | 350 Nw 84th Ave, Suite 109, Plantation, FL 33324-1847 |
| Edward A Sholtis | Physical Therapy | Action Physical Therapy, LLC | 350 Nw 84th Ave, Suite 207, Plantation, FL 33324-1859 |
| Bernard F Miot | Orthopedic Surgery | 350 Nw 84th Ave, Suite 312, Plantation, FL 33324-1859 | |
| Adela Fernandez | General Practice | Associates In Family Practice of Broward LLC | 350 Nw 84th Ave, Suite 200b, Plantation, FL 33324-1817 |
| Sharlene J Llanes | Allergy/immunology | Allergy and Asthma Associates of South Florida Pa | 350 Nw 84th Ave, 205 Florida Center for Allergy and Asthma Care, Plantation, FL 33324-1859 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David E Yachter | Chiropractic | 10189 Cleary Blvd, Suite 103, Plantation, FL 33324-1027 | |
| Jeffrey E Sager | Optometry | Jeffrey E Sager Od Pa | 823 N Nob Hill Rd, Plantation, FL 33324-1038 |
| Candice Mansito | Optometry | Jeffrey E Sager Od Pa | 823 N Nob Hill Rd, Plantation, FL 33324-1038 |
| Robert S Leshaw | Chiropractic | 10063 Cleary Blvd, Plantation, FL 33324-1063 | |
| Abram Berens | Family Medicine | 969 N Nob Hill Rd, Plantation, FL 33324-1078 | |
| Ivy Lawson | Diagnostic Radiology | West Hudson Imaging Associates Pllc | 10781 Nw 5th St, Plantation, FL 33324-1518 |
| Mark Herman | Chiropractic | 301 Nw84th Ave, Suite 301, Plantation, FL 33324-1807 | |
| Gail G Bonner | Internal Medicine | Metcare of Florida Inc | 301 Nw 84th Ave, 101 Metcare of Plantation, Plantation, FL 33324-1807 |
| Alejandro R Luna | Internal Medicine | Metcare of Florida Inc | 301 Nw 84th Ave, 101 Metcare of Plantation, Plantation, FL 33324-1807 |
| Kim R Nickelson | Internal Medicine | Metcare of Florida Inc | 301 Nw 84th Ave, 101 Metcare of Plantation, Plantation, FL 33324-1807 |
| Find all physicians in zip 33324 | |||
| City | PLANTATION |
| Zip Code | 33324 |
| Specialty | UROLOGY |
| City + Specialty | PLANTATION + UROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.