21St Century Oncology LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

21ST CENTURY ONCOLOGY LLC

Practice address

1002 S Old Dixie Hwy
Suite 104
Jupiter, FL 33458-7202

Phone

(561) 747-5885

Fax

(561) 743-5456

NPI assigned

Sep 3, 2015

Organization subpart

Yes

Parent organization

21ST CENTURY ONCOLOGY 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) 931-7277

Specialties & licenses 1

Addresses

Other names 1

• Rauch Urology Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• 21St Century Oncology LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Myers, FL
  • NPI 1255531786
  NPPES parent name

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1629446992",
    "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": "1002 S OLD DIXIE HWY",
            "address_2": "SUITE 104",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587202",
            "telephone_number": "561-747-5885",
            "fax_number": "561-743-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "21ST CENTURY ONCOLOGY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "21ST CENTURY ONCOLOGY INC",
        "enumeration_date": "2015-09-03",
        "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": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rauch Urology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rauch Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 21St Century Oncology LLC
• 21St Century Oncology LLC
• 3G Healthcare Corp
• 4 All Minds, LLC
• A Customized Home Care Solution LLC
• A Labor of Love Doula Services LLC
• A Moments Notice Home Care;, Inc

• Urology Physician in Jupiter, FL
• Providers in Jupiter, 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.