21St Century Specialty Physicians Michael J Katin MD PC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

21ST CENTURY SPECIALTY PHYSICIANS MICHAEL J KATIN MD PC

Practice address

52 N Pecos Rd
Henderson, NV 89074-7319

Phone

(702) 990-4767

Fax

(702) 990-4766

NPI assigned

Sep 20, 2008

Organization subpart

No

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

Authorized official

Name

Michael J Katin, MD

Title

Ceo/President

Phone

(239) 931-7277

Specialties & licenses 2

Addresses

Other names 1

• 21st Century Oncology Doing business as

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

{
    "created_epoch": "1221868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221868800000",
    "number": "1124278650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "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": "52 N PECOS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747319",
            "telephone_number": "702-990-4767",
            "fax_number": "702-990-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "21ST CENTURY SPECIALTY PHYSICIANS MICHAEL J KATIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-20",
        "last_updated": "2008-09-20",
        "status": "A",
        "authorized_official_last_name": "KATIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "239-931-7277",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "21st Century Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Henderson, NV
• Radiation Oncology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.