NPIMap

Organization Active NPI

Wellspring Oncology

  • Radiation Oncology Clinic/Center
  • Pinellas Park, FL
National Provider Identifier
1558628404
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
License
1686912 Issued in FL
Legal business name
WELLSPRING ONCOLOGY
Practice address
6600 66TH St N
Pinellas Park, FL 33781-5040
Phone
(727) 343-0600
Fax
(727) 321-5421
NPI assigned
Apr 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Authorized official

Name
Dr. Robert Miller, M.D.
Title
Physician
Phone
(727) 343-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X 1686912 FL Primary

Addresses

Primary practice location

6600 66TH St N
Pinellas Park, FL 33781-5040

Mailing address

6600 66TH St N
Pinellas Park, FL 33781-5040
Phone (727) 343-0600

Other identifiers 1

IdentifierTypeStateIssuer
1686912OtherFLARNP LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Well Spring Cancer Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1558628404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815040",
            "telephone_number": "727-343-0600",
            "fax_number": "727-321-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815040",
            "telephone_number": "727-343-0600",
            "fax_number": "727-321-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "727-343-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "FL",
            "license": "1686912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE NUMBER",
            "identifier": "1686912",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.