Michael K Wing (NPI# 1942295373, PAC ID# 8921292962) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1942295373 |
| PAC ID by PECOS | 8921292962 |
| Professional Enrollment ID | I20101103000689 |
| Full Name | Michael K Wing |
| Organization Legal Name | 21ST CENTURY ONCOLOGY LLC |
| Address |
6879 Us Hwy 98 W Santa Rosa Beach FL 32459-3257 |
| Gender | M |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 9830082882 |
| Number of Group Practice Members | 332 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6879 Us Hwy 98 W, Santa Rosa Beach, FL 32459-3257 | 21ST CENTURY ONCOLOGY LLC |
| Organization Legal Name | 21ST CENTURY ONCOLOGY LLC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luis F Espaillat | General Surgery | 21st Century Oncology LLC | 3300 Us 27, Avon Park, FL 33825-9701 |
| Lori A Anthony | Physician Assistant | 21st Century Oncology LLC | 730 Goodlette Rd N, Suite 201, Naples, FL 34102-5618 |
| Jan Forszpaniak | General Surgery | 21st Century Oncology LLC | 730 Goodlette Rd N, Suite 201, Naples, FL 34102-5618 |
| Albert N Vorstman | Urology | 21st Century Oncology LLC | 1725 N University Dr, Suite 400, Coral Springs, FL 33071-6053 |
| Linda S Sylvester | Medical Oncology | 21st Century Oncology LLC | 7751 Baymeadows Rd E, Jacksonville, FL 32256-5836 |
| Reda F Sorial | Urology | 21st Century Oncology LLC | 730 Goodlette Rd N, Suite 201, Naples, FL 34102-5618 |
| John R Burns | Urology | 21st Century Oncology LLC | 6879 Us Hwy 98 W, Santa Rosa Beach, FL 32459-3257 |
| Ira A Zucker | Urology | 21st Century Oncology LLC | 730 Goodlette Rd N, Suite 201, Naples, FL 34102-5618 |
| Jacob H Jordan | General Surgery | 21st Century Oncology LLC | 730 Goodlette Rd N, Suite 201, Naples, FL 34102-5618 |
| Carl W Liebert Jr. | General Surgery | 21st Century Oncology LLC | 3680 Broadway, Fort Myers, FL 33901-8005 |
| Street Address |
6879 US HWY 98 W |
| City | SANTA ROSA BEACH |
| State | FL |
| Zip | 32459-3257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Warren R. Amos | Radiation Oncology | 21st Century Oncology, LLC | 6879 Us Hwy 98 W, Santa Rosa Beach, FL 32459-3257 |
| Ravichandra K Sandrapaty | Radiation Oncology | 21st Century Oncology, LLC | 6879 Us Hwy 98 W, Santa Rosa Beach, FL 32459-3257 |
| James H Stevens | Radiation Oncology | 21st Century Oncology, LLC | 6879 Us Hwy 98 W, Santa Rosa Beach, FL 32459-3257 |
| Jayanth G Rao | Radiation Oncology | 21st Century Oncology, LLC | 6879 Us Hwy 98 W, Santa Rosa Beach, FL 32459-3257 |
| Robert E Hruby | General Surgery | 21st Century Oncology, LLC | 6879 Us Hwy 98 W, Santa Rosa Beach, FL 32459-3257 |
| Basil D. Fossum | Urology | 21st Century Oncology, LLC | 6879 Us Hwy 98 W, Santa Rosa Beach, FL 32459-3257 |
| John R Burns | Urology | 21st Century Oncology LLC | 6879 Us Hwy 98 W, Santa Rosa Beach, FL 32459-3257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renee R Mccormack | Nurse Practitioner | 201 N Blue Heron Dr, Santa Rosa Beach, FL 32459-0201 | |
| Christine Smiley | Family Medicine | Doc Smiley's Urgent Care LLC | 43 Cassine Way, Suite 102, Santa Rosa Beach, FL 32459-0456 |
| Justin T Smiley | Family Medicine | Doc Smiley's Urgent Care LLC | 43 Cassine Way, Suite 102, Santa Rosa Beach, FL 32459-0456 |
| James Benjamin Renfroe | Neurology | Child Neurology Center of Northwest Florida Pa | 23 Mack Bayou Loop, Suite 100, Santa Rosa Beach, FL 32459-2606 |
| Erin D Fowler | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 27 Mack Bayou Loop, Suite 1000, Santa Rosa Beach, FL 32459-2613 |
| Rebecca G Block | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 27 Mack Bayou Loop, Suite 1000, Santa Rosa Beach, FL 32459-2613 |
| Emilia M Banse | Nurse Practitioner | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Wendy M Depury | Clinical Social Worker | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Farid Chekaoui | Psychiatry | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Carmen Y Brezna | Clinical Social Worker | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Find all physicians in zip 32459 | |||
| City | SANTA ROSA BEACH |
| Zip Code | 32459 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | SANTA ROSA BEACH + RADIATION ONCOLOGY |
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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.