Provider Demographics
NPI:1144228222
Name:CALKINS, ALISON RUTH (MD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:RUTH
Last Name:CALKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:CALKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:TAMPA BAY RADIATION ONCOLOGY
Mailing Address - Street 2:2309 CRESTOVER LANE
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544
Mailing Address - Country:US
Mailing Address - Phone:813-522-5100
Mailing Address - Fax:813-522-5101
Practice Address - Street 1:TAMPA BAY RADIATION ONCOLOGY
Practice Address - Street 2:2309 CRESTOVER LANE
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544
Practice Address - Country:US
Practice Address - Phone:813-522-5100
Practice Address - Fax:813-522-5101
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME585382085R0001X, 2085R0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL053933300Medicaid
FL12457ZMedicare ID - Type Unspecified
FL053933300Medicaid