Premier Radiation Oncology Associates LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

PREMIER RADIATION ONCOLOGY ASSOCIATES LLC

Practice address

3155 N McMullen Booth Rd
Clearwater, FL 33761-2008

Phone

(727) 669-9018

Fax

(727) 669-4308

NPI assigned

Mar 9, 2020

Last updated

Sep 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aubrae Russolello

Title

Office Manager

Phone

(727) 669-9018

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Taghrid A Altoos, MD

  • Radiation Oncology Physician
  • Clearwater, FL
  • NPI 1124255005
  Medicare reassignment Care Compare group NPD
• Eric Brooks, M.D. MHS

  • Radiation Oncology Physician
  • Clearwater, FL
  • NPI 1447645577
  Medicare reassignment Care Compare group NPD
• Michael D Gauwitz, MD

  • Specialist
  • Clearwater, FL
  • NPI 1790752467
  Medicare reassignment Care Compare group NPD
• Norman J Brodsky, MD

  • Specialist
  • Clearwater, FL
  • NPI 1427025196
  NPD

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1306471552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 N MCMULLEN BOOTH RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612008",
            "telephone_number": "727-669-9018",
            "fax_number": "727-669-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 N MCMULLEN BOOTH RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612008",
            "telephone_number": "727-669-9018",
            "fax_number": "727-669-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER RADIATION ONCOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "RUSSOLELLO",
        "authorized_official_first_name": "AUBRAE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-669-9018"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maja Pranjic
• Frederick Sheridan Pratt, DDS
• Precision Physical Therapy Inc
• Premier Anesthesia of the Sunshine State LLC
• Premier Miller Orthopedic Centers, Inc.
• Premier Radiology, LLP
• Premier Surgical Suites, LLC
• Michael J Prendergast, A.R.N.P.
• Geraldo Prestes de Camargo Filho
• Prestigious Senior Home Health Care Inc (Prestigious Senior Home Health Care)

• Radiation Oncology Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Radiation Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.

Verify at the official NPI Registry.