Active NPI
Tyler Rowland Hollen, M.D.
- Radiation Oncology Physician
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME119644
- Practice address
- 3210 Fruitville Rd
Sarasota, FL 34237-6411 - Phone
- (941) 364-8887
- Fax
- (941) 954-3222
- NPI assigned
- May 27, 2009
- Last updated
- Jan 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | TRN13798 | FL | |
| Radiation Oncology Physician | 2085R0001X | ME119644 | FL | Primary |
Addresses
Primary practice location
3210 Fruitville Rd
Sarasota, FL 34237-6411
Mailing address
2234 Colonial Blvd
Attn: Payer Contracting & Relations
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9018898 | Other | FL | CIGNA |
| P1022207 | Other | FL | FREEDOM |
| 1003640 | Other | FL | WELLCARE |
| 011994300 | Medicaid | FL | |
| P961503 | Other | FL | OPTIMUM |
| P01343344 | Other | FL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- University of Florida College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1419 SE 8TH Ter
Cape Coral, FL 33990-3213
Phone (239) 772-3202
3210 Fruitville Rd
Sarasota, FL 34237-6411
Phone (941) 364-8887
730 Goodlette Rd
Suite 201
Naples, FL 34102-5618
Phone (239) 263-4499
8946 77TH Ter E
Lakewood Ranch, FL 34202-6421
Phone (941) 792-0340
901 Tamiami TRL S
Venice, FL 34285-3668
Phone (941) 309-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesiscare USA of Florida LLC | Radiation Oncology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Past | Accepting new patients |
Locations
720 Doctors Dr
Englewood, FL 34223
Phone (941) 473-9866
2160 Colonial Blvd
Fort Myers, FL 33907
2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212
8946 77th Ter E
Lakewood Ranch, FL 34202
Phone (941) 792-0340
730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119
3175 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 457-8172
3210 Fruitville Rd
Sarasota, FL 34237
Phone (941) 364-8887
901 Tamiami Trl S
Venice, FL 34285
Phone (941) 484-3531
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Radiation Oncology Physician
- Fort Myers, FL
- NPI 1134109747
-
dba David Schwartzwald, MD: Urology Care Specialists
- Urology Physician
- Boca Raton, FL
- NPI 1649093709
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sarasota Memorial Hospital - Venice
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484265600000",
"number": "1033344643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"address_2": "ATTN: PAYER CONTRACTING & RELATIONS",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 FRUITVILLE RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342376411",
"telephone_number": "941-364-8887",
"fax_number": "941-954-3222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLEN",
"first_name": "TYLER",
"middle_name": "ROWLAND",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-27",
"last_updated": "2017-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "TRN13798",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME119644",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9018898",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM",
"identifier": "P1022207",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "1003640",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011994300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM",
"identifier": "P961503",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01343344",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.