NPIMap

Organization Active NPI

Palms West Radiation Therapy, LLC

Doing business as Palms West Radiation Therapy Regional Center

  • Radiation Oncology Physician
  • Loxahatchee, FL
National Provider Identifier
1710967344
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
PALMS WEST RADIATION THERAPY, LLC
Doing business as
Palms West Radiation Therapy Regional Center
Practice address
12993 Southern Blvd
Loxahatchee, FL 33470-9215
Phone
(561) 784-9008
Fax
(561) 784-0905
NPI assigned
Jan 19, 2006
Last updated
Sep 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Michael K. Wing, MDNPI 1942295373
Title
Ceo
Phone
(561) 784-9008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

12993 Southern Blvd
Loxahatchee, FL 33470-9215

Mailing address

12993 Southern Blvd
Loxahatchee, FL 33470-9215
Phone (561) 784-9008

Other names 1

  • Palms West Radiation Therapy Regional Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

12993 Southern Blvd
Loxahatchee, FL 33470
Phone (561) 784-9008

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1710967344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12993 SOUTHERN BLVD",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709215",
            "telephone_number": "561-784-9008",
            "fax_number": "561-784-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12993 SOUTHERN BLVD",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709215",
            "telephone_number": "561-784-9008",
            "fax_number": "561-784-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMS WEST RADIATION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "WING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-784-9008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palms West Radiation Therapy Regional Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.