INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC (NPI# 1023054921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023054921 |
| Entity Type | Organization |
| Organization Name | INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC |
| Other Organization Name | CANCER SPECIALISTS OF NORTH FLORIDA |
| Practice Address |
1689 Eagle Harbor Pkwy Suite C Orange Park FL 32003-4817 |
| Mailing Address |
9143 Philips Hwy Suite 560 Jacksonville FL 32256-1348 |
| Practice Telephone | 9042646201 |
| Practice Fax Number | 9042646858 |
| Mailing Telephone | 9043632113 |
| Mailing Fax Number | 9043632606 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2012-05-24 |
| Authorized Official Name | MR. ROBERT J PHELAN (CEO) |
| Authorized Official Telephone | 9043637442 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 273427321 | 05 | |
| FL | BCBS | 94890 | 01 |
| Other Name | Type Code |
|---|---|
| Cancer Specialists of North Florida | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932196243 | Integrated Community Oncology Network LLC | Internal Medicine | 9143 Philips Hwy, Ste 560, Jacksonville, FL 32256-1348 | 2005-10-03 |
| 1730176017 | Integrated Community Oncology Network LLC | Durable Medical Equipment & Medical Supplies | 600 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2005-10-03 |
| 1821085101 | Integrated Community Oncology Network LLC | Durable Medical Equipment & Medical Supplies | 2161 Kingsley Avenue, Suite 200, Orange Park, FL 32073 | 2005-10-03 |
| 1558796151 | Integrated Community Oncology Network LLC | Internal Medicine | 1677 Eagle Harbor Pkwy, Suite A, Fleming Island, FL 32003-4802 | 2013-09-13 |
| 1649574500 | Integrated Community Oncology Network LLC | Urology | 6269 Beach Blvd, Suite 2, Jacksonville, FL 32216-2768 | 2011-01-06 |
| 1720310733 | Integrated Community Oncology Network LLC | Urology | 1715 Village Way, Orange Park, FL 32073-5263 | 2010-02-02 |
| 1467683839 | Integrated Community Oncology Network LLC | Radiology | 425 S Parsons Ave, Suite 102, Brandon, FL 33511-5289 | 2009-08-04 |
| 1407096183 | Integrated Community Oncology Network LLC | Radiology | 710 Lomax St, Suite 1, Jacksonville, FL 32204-4004 | 2009-02-20 |
| 1457529786 | Integrated Community Oncology Network LLC | Urology | 710 Lomax St, Jacksonville, FL 32204-4004 | 2008-02-20 |
| 1225234404 | Integrated Community Oncology Network LLC | Radiology | 200 N Mangoustine Ave, Sanford, FL 32771-1017 | 2007-06-25 |
| Street Address |
1689 EAGLE HARBOR PKWY SUITE C |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32003-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821260910 | Physicians Hearing Care | Hearing Aid Equipment | 1689 Eagle Harbor Pkwy, Suite B, Orange Park, FL 32003-4817 | 2008-03-28 |
| 1700072915 | Wendy Lea Healy | Occupational Therapist | 1689 Eagle Harbor Pkwy, Ste D, Orange Park, FL 32003-4802 | 2007-09-20 |
| 1891981296 | Pulmonary and Critical Care Associates P A | Internal Medicine | 1689 Eagle Harbor Pkwy, Suite B, Orange Park, FL 32003-4802 | 2007-09-19 |
| 1326260423 | Dennis Kevin Obrien | Physician Assistant | 1689 Eagle Harbor Pkwy, Orange Park, FL 32003-4802 | 2007-05-02 |
| 1922146919 | Jennifer Skidmore | Occupational Therapist | 1689 Eagle Harbor Pkwy, Suite D, Orange Park, FL 32003-4802 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649758012 | Pruitthealth - Fleming Island, LLC | Skilled Nursing Facility | 2040 Town Center Boulevard, Fleming Island, FL 32003 | 2018-07-30 |
| 1841733904 | Linda Giacobbe | Community/Behavioral Health | 4609 Hwy 17, Suite 1, Fleming Island, FL 32003 | 2016-11-22 |
| 1538515796 | Kelly Standish | Dentist | 1700 Eagle Harbor Parkway East, Orange Park, FL 32003 | 2016-05-06 |
| 1396119301 | Emily Benn | Physical Therapist | 4689 Hwy 17, Suite 11, Fleming Island, FL 32003 | 2015-11-16 |
| 1467834929 | Sherrye Frady | Nurse Practitioner | 1915 East West Pkwy #2, Fleming Island, FL 32003 | 2015-06-22 |
| 1023497658 | Musa Medical Supplies | Durable Medical Equipment & Medical Supplies | 1915 Eastwest Parkway, Fleming Island, FL 32003 | 2015-05-28 |
| 1093125676 | Stephen Gibbs | Orthopaedic Surgery | 4689 Highway 17, Suite 11, Fleming Island, FL 32003 | 2014-05-05 |
| 1033555198 | Lillie Elaine Switanek | Social Worker | 1 743 Cr 220, Fleming Island, FL 32003 | 2013-05-16 |
| 1003188475 | Comfortable Care Dental Health Professionals | Dentist | 1647 Country Road 220, Suite 101, Fleming Island, FL 32003 | 2012-02-01 |
| 1285901488 | Lynzie Lane Cammilleri | Pharmacist | 1565 Doctor's Inlet, Orange Park, FL 32003 | 2011-11-17 |
| Find all providers in zip 32003 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225025182 | Jeffrey M Harris | Internal Medicine | 2141 Loch Rane Blvd Ste 116, Orange Park, FL 32073 | 2005-10-05 |
| 1689661399 | Kelley A Trent | Internal Medicine | 2161 Kingsley Ave, Ste 200, Orange Park, FL 32073-5113 | 2005-09-29 |
| 1770588733 | Kenneth H Goldstein | Internal Medicine | 2161 Kingsley Ave., Suite 200, Orange Park, FL 32073 | 2005-06-16 |
| 1386812253 | Yan G Makeyev | Internal Medicine | 2141 Loch Rane Blvd Ste 116, Orange Park, FL 32073 | 2008-02-13 |
| 1669469367 | Linda Sylvester | Internal Medicine | 2161 Kingsley Ave., Suite 200, Orange Park, FL 32073 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
| 1922628833 | Heme Onc Call, LLC | Internal Medicine | 5825 Sw 117th St, Pinecrest, FL 33156-5007 | 2020-04-21 |
| 1457851552 | Yvette M Herrington | Internal Medicine | 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 | 2018-02-15 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
| 1073901187 | Edward Mcaloon | Internal Medicine | 108 Homeport Dr, Palm Harbor, FL 34683-5409 | 2014-12-26 |
| 1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
| 1912311630 | David Longacre | Internal Medicine | 2439 Weymouth Dr, Clearwater, FL 33764-6556 | 2014-06-20 |
| 1508270778 | Gerard Chaaya | Internal Medicine | 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 | 2014-06-16 |
| 1982026670 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 2100 W 1st St, Sanford, FL 32771-1603 | 2014-01-14 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE PARK |
| Zip Code | 32003 |
Please comment or provide details below to improve the information on INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.