Active NPI
21St Century Oncology LLC
Doing business as The Donoway Center for Cancer Treatment and Prevention
- Surgery Physician
- Hollywood, FL
National Provider Identifier
1891166971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- 21ST CENTURY ONCOLOGY LLC
- Doing business as
- The Donoway Center for Cancer Treatment and Prevention
- Practice address
- 4000 Hollywood Blvd
Presidential Circle - Suite 160 North
Hollywood, FL 33021-6751 - Phone
- (954) 986-6366
- Fax
- (954) 986-4355
- NPI assigned
- Oct 14, 2015
- Last updated
- Jul 12, 2019
- Organization subpart
- Yes
- Parent organization
- 21ST CENTURY ONCOLOGY 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
4000 Hollywood Blvd
Presidential Circle - Suite 160 North
Hollywood, FL 33021-6751
Mailing address
2234 Colonial Blvd
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other names 1
- The Donoway Center for Cancer Treatment and Prevention
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 DirectoryLocations
4000 Hollywood Blvd
Ste 160N
Hollywood, FL 33021
Phone (954) 986-6366
Ownership & related parties
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.
-
dba Florida Specialists in Urology
- Durable Medical Equipment & Medical Supplies
- Fort Myers, FL
- NPI 1255531786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562889600000",
"number": "1891166971",
"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": "4000 HOLLYWOOD BLVD",
"address_2": "PRESIDENTIAL CIRCLE - SUITE 160 NORTH",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216751",
"telephone_number": "954-986-6366",
"fax_number": "954-986-4355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "21ST CENTURY ONCOLOGY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "21ST CENTURY ONCOLOGY INC",
"enumeration_date": "2015-10-14",
"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": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Donoway Center for Cancer Treatment and Prevention",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Donoway Center for Cancer Treatment and Prevention",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hollywood, FL
- 123 Therapy Inc.
- 1St Care Concept Inc
- 1St Health Medical Supplies Inc
- 1Vizion Group
- 2020 Hope for Elderly
- 4200 Washington Street Operations LLC (Hillcrest Health Care and Rehabilitation Center)
- 4350 Dental P a (Sheridan Dental Care)
- 440 Physical Therapy Center LLC
- 7-24 Urgent Care LLC
- A Center for Dermatology PA
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.