Organization Active NPI

Atlantis Integrated Multispecialty Centers

  • Radiation Oncology Physician
  • The Villages, FL
National Provider Identifier
1710420757
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
ATLANTIS INTEGRATED MULTISPECIALTY CENTERS
Practice address
11950 County Road 101
The Villages, FL 32162-9332
Phone
(352) 391-6190
Fax
(352) 391-6199
NPI assigned
Nov 23, 2016
Last updated
Apr 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Ganesh Arora, PH.D
Title
President
Phone
(352) 391-6190

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X NU Primary
Urology Physician 208800000X NU

Addresses

Primary practice location

11950 County Road 101
The Villages, FL 32162-9332

Mailing address

PO Box 140970
Gainesville, FL 32614-0970

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherFLMEDICARE PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Atlantis Integrated Multispecialty Centers3 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": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1710420757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140970",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326140970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11950 COUNTY ROAD 101",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321629332",
            "telephone_number": "352-391-6190",
            "fax_number": "352-391-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS INTEGRATED MULTISPECIALTY CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "GANESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-391-6190",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.