Active NPI
Michael K. Wing, MD
- Radiation Oncology Physician
- Sebring, FL
National Provider Identifier
1942295373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME0066531
- Practice address
- 3650 Emergency LN
Sebring, FL 33870-5534 - Phone
- (863) 382-8811
- Fax
- (863) 382-6055
- NPI assigned
- Sep 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | ME0066531 | FL | Primary |
Addresses
Primary practice location
3650 Emergency LN
Sebring, FL 33870-5534
Mailing address
2234 Colonial Blvd
Attn: Payer Contracting & Relations Dept.
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258167100 | Medicaid | FL | |
| 28857 | Other | FL | BCBS PROVIDER NUMBER |
| 42196 | Other | FL | FOUNDATION HLTH PROV. # |
| 1027139 | Other | FL | WELLCARE |
| 2660708 | Other | FL | CIGNA |
| 2734 | Other | FL | TOTAL HLTH CH. PROV. # |
| 2616613 | Other | FL | AETNA HMO PROVIDER # |
| 279846 | Other | FL | AVMED PROVIDER # |
| 170074 | Other | FL | WELLCARE PROVIDER NUMBER |
| 2660708-008 | Other | FL | CIGNA PROVIDER NUMBER |
| 4934 | Other | FL | AVMED PIN NUMBER |
| 5072119 | Other | FL | AETNA |
| 920005358 | Other | FL | RAILROAD MCR |
| 4099797 | Other | FL | GHI PROVIDER NUMBER |
| 5072119 | Other | FL | AETNA NON HMO PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0066531 | FL | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palms West Radiation Therapy, LLC | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiation Oncology Physician
- Loxahatchee, FL
- NPI 1710967344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1942295373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"address_2": "ATTN: PAYER CONTRACTING & RELATIONS DEPT.",
"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": "3650 EMERGENCY LN",
"city": "SEBRING",
"state": "FL",
"postal_code": "338705534",
"telephone_number": "863-382-8811",
"fax_number": "863-382-6055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WING",
"first_name": "MICHAEL",
"middle_name": "K.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME0066531",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258167100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "28857",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FOUNDATION HLTH PROV. #",
"identifier": "42196",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "1027139",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2660708",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TOTAL HLTH CH. PROV. #",
"identifier": "2734",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO PROVIDER #",
"identifier": "2616613",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED PROVIDER #",
"identifier": "279846",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE PROVIDER NUMBER",
"identifier": "170074",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "2660708-008",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED PIN NUMBER",
"identifier": "4934",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5072119",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCR",
"identifier": "920005358",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PROVIDER NUMBER",
"identifier": "4099797",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON HMO PROVIDER #",
"identifier": "5072119",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.