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BAPTIST MD ANDERSON CANCER PHYSICIANS
NPI 1710664206
Radiology - Radiation Oncology in Fleming Island, FL

Active since June 28, 2023CLIA 10D2282176 · Waiver
2310 VILLAGE SQUARE PKWY STE 106C, FLEMING ISLAND, FL 32003(904) 202-7300(904) 202-2754 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Baptist Md Anderson Cancer Physicians NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAPTIST MD ANDERSON CANCER PHYSICIANS (NPI 1710664206) is a healthcare organization registered as a radiation oncology in Fleming Island, Florida and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through May 16, 2027 and lists Leeann Mengel, Vice President, as its authorized official.

NPPES Registry Identity

NPI1710664206
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameBAPTIST MD ANDERSON CANCER PHYSICIANS
Location Address2310 VILLAGE SQUARE PKWY STE 106CFleming Island, FL 32003-6409
Mailing AddressPo Box 746654Atlanta, GA 30374-6654 · (904) 202-2092 · Fax (904) 376-4075
Phone(904) 202-7300
Fax(904) 202-2754
Organization SubpartNo
Authorized OfficialLeeann MengelVice President · (904) 202-7300
Enumeration DateJune 28, 2023
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1710664206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X
Also ListedObstetrics & Gynecology · Gynecologic OncologyTaxonomy 207VX0201X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X
2310 VILLAGE SQUARE PKWY STE 106C, Fleming Island, FL 32003
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2282176

Baptist MD Anderson Cancer Physicians, Inc · Fleming Island, FL
Active · expires May 16, 2027
CLIA Number10D2282176
Laboratory TypePhysician Office
Certificate Effective DateMay 17, 2025
Certificate Expiration DateMay 16, 2027
Laboratory DirectorKimberly Labree
Laboratory Phone(904) 202-7397
Laboratory LocationBaptist MD Anderson Cancer Physicians, Inc2310 Village Square Pkwy, Suite 106, Fleming Island, FL 32003
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY MERCEDES CONNORS APRN
Nurse Practitioner
2310 VILLAGE SQUARE PKWY STE 106C
FLEMING ISLAND, FL 32003
Duval County (904) 202-7300
SHANE B CLARK DO
Internal Medicine (Hematology & Oncology)
2310 VILLAGE SQUARE PKWY STE 106C
FLEMING ISLAND, FL 32003
Duval County (904) 202-7300
NEENAD MAHENDRA SHAH MD
Radiology (Radiation Oncology)
2310 VILLAGE SQUARE PKWY STE 106C
FLEMING ISLAND, FL 32003
Duval County (904) 202-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baptist MD Anderson Cancer Physicians's NPI number?

The NPI number for Baptist MD Anderson Cancer Physicians is 1710664206. It was assigned to this organization in the NPPES registry on June 28, 2023.

Where is Baptist MD Anderson Cancer Physicians located?

Baptist MD Anderson Cancer Physicians is located at 2310 Village Square Pkwy Ste 106C, Fleming Island, FL 32003. The listed phone number is (904) 202-7300.

What is Baptist MD Anderson Cancer Physicians's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Does Baptist MD Anderson Cancer Physicians hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2282176) is associated with this NPI, valid through May 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baptist MD Anderson Cancer Physicians accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Baptist MD Anderson Cancer Physicians as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Baptist MD Anderson Cancer Physicians was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.