Active NPI
21St Century Oncology LLC
Doing business as Howard Eisenberg
- Pulmonary Disease Physician
- Cape Coral, FL
National Provider Identifier
1841572559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- 21ST CENTURY ONCOLOGY LLC
- Doing business as
- Howard Eisenberg
- Practice address
- 1031 SE 9TH PL
Unit 2
Cape Coral, FL 33990-3003 - Phone
- (239) 573-8448
- Fax
- (239) 573-8604
- NPI assigned
- Sep 20, 2011
- Last updated
- Jul 12, 2019
- Organization subpart
- Yes
- Parent organization
- RADIATION THERAPY SERVICES INC
NPPES NPI Registry
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | NU | Primary | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | NU |
Addresses
Primary practice location
1031 SE 9TH PL
Unit 2
Cape Coral, FL 33990-3003
Mailing address
2234 Colonial Blvd
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CE7138 | Other | FL | RAILROAD MEDICARE |
Other names 1
- Howard Eisenberg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040204000663 | FL | Part B Supplier - Clinic/Group Practice | 9830082882 |
Receives reassigned benefits from 314 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Pulmonary Disease Physician
- Fort Myers, FL
- NPI 1679591275
-
- Urology Physician
- Fort Lauderdale, FL
- NPI 1972594612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562889600000",
"number": "1841572559",
"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": "1031 SE 9TH PL",
"address_2": "UNIT 2",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339903003",
"telephone_number": "239-573-8448",
"fax_number": "239-573-8604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "21ST CENTURY ONCOLOGY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RADIATION THERAPY SERVICES INC",
"enumeration_date": "2011-09-20",
"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": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CE7138",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Howard Eisenberg",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Howard Eisenberg",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cape Coral, FL
- 1 Global Med Services, Inc
- 1St Nursing Care of Homehealth Services Inc
- 216 Santa Barbara Boulevard Operations LLC (Coral Trace Health Care)
- 21St Century Oncology LLC (Southwest Florida Urologic Associates)
- 21St Century Oncology LLC (Florida Urology Physicians)
- 70620 Partners, LLC (U.S. Renal Care Cape Coral South Dialysis)
- 71020 Ventures, LLC (U.S. Renal Care Cape Coral North Dialysis)
- 71120 Ventures, LLC (U.S. Renal Care Cape Coral Home Dialysis)
- A Coordinated Effort of Services LLC Aces
- A Loyal Transportation Corp
Sources for this page
- 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.