Active NPI
21St Century Oncology LLC
- Surgery Physician
- Fort Myers, FL
National Provider Identifier
1295089720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- 21ST CENTURY ONCOLOGY LLC
- Practice address
- 16400 Healthpark Commons Dr
Fort Myers, FL 33908-9621 - Phone
- (239) 278-5200
- Fax
- (239) 278-4243
- NPI assigned
- Nov 6, 2012
- Organization subpart
- Yes
- Parent organization
- RADIATION THERAPY SERVICES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Commins
- Title
- Ceo
- Phone
- (239) 931-7277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
16400 Healthpark Commons Dr
Fort Myers, FL 33908-9621
Mailing address
2234 Colonial Blvd
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CE7138 | Other | FL | RAILROAD MEDICARE |
Other names 1
- Jeffrey W Lewis MD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040204000663 | FL | Part B Supplier - Clinic/Group Practice | 9830082882 |
Receives reassigned benefits from 314 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562889600000",
"number": "1295089720",
"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": "16400 HEALTHPARK COMMONS DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339089621",
"telephone_number": "239-278-5200",
"fax_number": "239-278-4243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "21ST CENTURY ONCOLOGY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RADIATION THERAPY SERVICES INC",
"enumeration_date": "2012-11-06",
"last_updated": "2019-07-12",
"status": "A",
"authorized_official_last_name": "COMMINS",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "239-931-7277"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CE7138",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jeffrey W Lewis MD",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Jeffrey W Lewis MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.