Organization Active NPI

Precision Radiation Oncology, LLC

  • Radiation Oncology Physician
  • Hollywood, FL
National Provider Identifier
1841287802
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
PRECISION RADIATION ONCOLOGY, LLC
Practice address
6030 Hollywood Blvd Ste 100
Hollywood, FL 33024-7923
Phone
(954) 322-7200
Fax
(954) 322-7203
NPI assigned
Oct 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Hoke T Han, MDNPI 1730176694
Title
President
Phone
(954) 322-7200

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X FL Primary

Addresses

Primary practice location

6030 Hollywood Blvd Ste 100
Hollywood, FL 33024-7923

Mailing address

6030 Hollywood Blvd Ste 100
Hollywood, FL 33024-7923
Phone (954) 322-7200

Other identifiers 1

IdentifierTypeStateIssuer
256075500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190719002647 FL Part B Supplier - Clinic/Group Practice 9739415399 Receives reassigned benefits from 2 practitioners
Practice locations: Hollywood, FL

National Provider Directory

National Provider Directory

Locations

6030 Hollywood Blvd
Ste 100
Pembroke Pines, FL 33024
Phone (305) 545-6685

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1841287802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 HOLLYWOOD BLVD STE 100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247923",
            "telephone_number": "954-322-7200",
            "fax_number": "954-322-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 HOLLYWOOD BLVD STE 100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247923",
            "telephone_number": "954-322-7200",
            "fax_number": "954-322-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION RADIATION ONCOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "HOKE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-322-7200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256075500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.