21St Century Oncology LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

21ST CENTURY ONCOLOGY LLC

Doing business as

Gulfstream Urology

Practice address

8931 Colonial Center Dr
Suite 100
Fort Myers, FL 33905-7809

Phone

(239) 277-5770

Fax

(239) 985-1911

NPI assigned

Feb 2, 2009

Last updated

Jul 12, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

RADIATION THERAPY SERVICES INCAs reported in NPPES

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) 931-7275

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gulfstream Urology Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Scott Raymond Caesar, MD

  • Urology Physician
  • Fort Myers, FL
  • NPI 1083849566
  NPD
• Christopher James Diblasio, M.D.

  • Urology Physician
  • Bonita Springs, FL
  • NPI 1952524274
  NPD

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1518105394",
    "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": "8931 COLONIAL CENTER DR",
            "address_2": "SUITE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339057809",
            "telephone_number": "239-277-5770",
            "fax_number": "239-985-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "21ST CENTURY ONCOLOGY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADIATION THERAPY SERVICES INC",
        "enumeration_date": "2009-02-02",
        "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": "239-931-7275"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE7138",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulfstream Urology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gulfstream Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 21St Century Oncology LLC (Florida Specialists in Urology)
• 21St Century Oncology LLC (Florida Specialists in Urology)
• 21St Century Oncology LLC (Gulfshore Urology)
• 21St Century Oncology LLC
• 21St Century Oncology LLC (Florida Urology Physicians)
• 21St Century Oncology LLC (Scappa Urology)
• 2826 Cleveland Avenue Operations LLC (Heritage Park Rehabilitation and Healthcare)
• 360 Medical Centers LLC
• 360 Pharmacy & DME LLC
• 3735 Evans Avenue Operations LLC (Evans Health Care)

• Urology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Urology Physician in Florida

• 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.

Verify at the official NPI Registry.