Premier Radiation Oncology Associates LLC
NPI 1306471552ActiveOrganization· Radiology, Radiation Oncology· Clearwater, FL
Radiology, Radiation Oncology in Clearwater, Florida, registered in NPPES in March 2020. The authorized official on file is Aubrae Russolello, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306471552 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 9, 2020 |
| Last updated in NPPES | Sep 28, 2020 |
| Certified by provider | Sep 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Radiation Oncology Primary | 2085R0001X | — | — |
| Specialist | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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