Comprehensive Gynecologic Oncology PA

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

ME 74132 Issued in FL

Legal business name

COMPREHENSIVE GYNECOLOGIC ONCOLOGY PA

Practice address

951 NW 13TH St
Suite 1B
Boca Raton, FL 33486-2337

Phone

(561) 447-0090

Fax

(561) 447-9663

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Frank Dominic Cirisano Jr., M.D.NPI 1326030966

Title

President

Phone

(561) 447-0090

Specialties & licenses 1

Addresses

Tax ID family

Comprehensive GYN Oncology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Comprehensive Gynecologic Oncology PA

  • Clinical Medical Laboratory
  • Delray Beach, FL
  • NPI 1013311455
  NPD tax ID

Locations

Practitioners 2

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

• Frank Dominic Cirisano Jr., M.D.

  • Gynecologic Oncology Physician
  • Delray Beach, FL
  • NPI 1326030966
  NPD (past) Authorized official
• Dea Marie Rushing, PA-C

  • Medical Physician Assistant
  • West Palm Beach, FL
  • NPI 1750617197
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1902854565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3026",
            "city": "HALLANDALE",
            "state": "FL",
            "postal_code": "330083026",
            "telephone_number": "561-447-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 NW 13TH ST",
            "address_2": "SUITE 1B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862337",
            "telephone_number": "561-447-0090",
            "fax_number": "561-447-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE GYNECOLOGIC ONCOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "CIRISANO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "DOMINIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-447-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "FL",
            "license": "ME 74132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gynecologic Oncology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Gynecologic Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.