Individual provider Active NPI

Laurel Anne Warwicke, M.D.

  • Radiation Oncology Physician
  • Gainesville, FL
National Provider Identifier
1114953387
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
FLME83046 Issued in FL
Practice address
7000 NW 11TH PL
Gainesville, FL 32605-3144
Phone
(352) 331-0900
Fax
(352) 331-1511
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X FLME83046 FL Primary

Addresses

Primary practice location

7000 NW 11TH PL
Gainesville, FL 32605-3144

Mailing address

7000 NW 11TH PL
Gainesville, FL 32605-3144
Phone (352) 331-0900

Other identifiers 4

IdentifierTypeStateIssuer
H45307OtherFLVISTA
06489OtherFLBLUE CROSS BLUE SHIELD
280321OtherFLAVMED
262043000MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040209000615 FL Practitioner - Radiation Oncology 8820982283 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
FLME83046FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC Radiation Oncology CurrentSince Dec 31, 2018 Accepting new patients
Cancer Care of North Florida PA CurrentSince Jul 1, 2015 Accepting new patients

Locations

6420 W Newberry Rd
Ste 100
Gainesville, FL 32605
Phone (352) 332-3900

6420 W Newberry Rd
Gainesville, FL 32605
Phone (352) 331-1550

289 SW Stonegate Ter
Ste 103
Lake City, FL 32024
Phone (386) 755-1655

795 SW State Road 47
Lake City, FL 32025
Phone (386) 401-7066

4520 W US Highway 90
Lake City, FL 32055
Phone (386) 755-0601

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1114953387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 NW 11TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053144",
            "telephone_number": "352-331-0900",
            "fax_number": "352-331-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 NW 11TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053144",
            "telephone_number": "352-331-0900",
            "fax_number": "352-331-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARWICKE",
        "first_name": "LAUREL",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "FLME83046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "H45307",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "06489",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "280321",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262043000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.