21ST CENTURY ONCOLOGY – NPI #1558341974
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

21ST CENTURY ONCOLOGY is a radiologist located in BERLIN, MD. NPPES has assigned the NPI number 1558341974 to 21ST CENTURY ONCOLOGY on January 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “21ST CENTURY ONCOLOGY” is a dba name, the actual legal business name for this organization is BERLIN RADIATION THREAPY TREATMENT CENTER, LLC. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 19 years ago on Sep 15, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 21ST CENTURY ONCOLOGY below.

NPI Profile for
BERLIN RADIATION THREAPY TREATMENT CENTER, LLC

NPI Number
1558341974
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BERLIN RADIATION THREAPY TREATMENT CENTER, LLC
Doing Business As (dba): 21ST CENTURY ONCOLOGY
Primary location
314 FRANKLIN AVE
BERLIN, MD 21811-1215
Phone: (410) 641-0277 Fax: (410) 641-9581
Mailing address
2234 COLONIAL BLVD
FORT MYERS, FL 33907-1412
Phone: (239) 931-7342 Fax: (239) 931-7385
Organization Subpart
No
Authorized Official
DANIEL DOSORETZ
PRESIDENT
Phone: (239) 931-7275
Updated
Identifiers

Identifiers for 21ST CENTURY ONCOLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDDE1000035979
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.