St Pete Cancer Treatment Center LLC

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

Legal business name

ST PETE CANCER TREATMENT CENTER LLC

Practice address

6449 38TH Avenue
Suite C3-D3
North St Petersburg, FL 33710

Phone

(866) 212-7009

Fax

(321) 383-3101

NPI assigned

Jul 8, 2008

Last updated

Oct 1, 2008By 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

Peter Su, PHD MD

Title

Owner

Phone

(866) 212-7009

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Aaron O Williams, MD

  • Radiation Oncology Physician
  • Dublin, GA
  • NPI 1184691016

  Single Specialty

  NPD
• Henry Earl Cotman, MD

  • Radiation Oncology Physician
  • St Petersburg, FL
  • NPI 1194829432
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1326201591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6449 38TH AVENUE",
            "address_2": "SUITE C3-D3",
            "city": "NORTH ST PETERSBURG",
            "state": "FL",
            "postal_code": "33710",
            "telephone_number": "866-212-7009",
            "fax_number": "321-383-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6449 38TH AVENUE",
            "address_2": "SUITE C3-D3",
            "city": "NORTH ST PETERSBURG",
            "state": "FL",
            "postal_code": "33710",
            "telephone_number": "866-212-7009",
            "fax_number": "321-383-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PETE CANCER TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-212-7009",
        "authorized_official_credential": "PHD MD"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essential Labs LLC

• Radiation Oncology Clinic/Center in North St Petersburg, FL
• Providers in North St Petersburg, FL by specialty
• Radiation Oncology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.