JACKSONVILLE ONCOLOGY INSTITUTE LIMITED


Address: 567 N Westgate Ave, Jacksonville, IL 62650-1156
Phone: 2172438400

JACKSONVILLE ONCOLOGY INSTITUTE LIMITED (NPI# 1033213038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033213038
Entity Type Organization
Organization Name JACKSONVILLE ONCOLOGY INSTITUTE LIMITED
Practice Address 567 N Westgate Ave
Jacksonville
IL 62650-1156
Mailing Address 567 N Westgate Ave
Po Box 797
Jacksonville
IL 62650-1156
Practice Telephone 2172438400
Practice Fax Number 2172458700
Mailing Telephone 2172438400
Mailing Fax Number 2172458700
Enumeration Date 2006-09-11
Last Update Date 2008-04-23
Authorized Official Name SALEEM MAHMOOD (PRESIDENT)
Authorized Official Telephone 2172438400
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036091247 05
BLUE CROSS BLUE SHIELD 0006923083 01
HEALTH ALLIANCE 055808 01
RAILROAD MEDICARE 920003901 01

Office Location

Street Address 567 N WESTGATE AVE
City JACKSONVILLE
State IL
Zip Code 62650-1156

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134768708 Stephanie Lee Mabus Occupational Therapy Assistant 873 Gorve St, Jacksonville, IL 62650 2019-12-31
1285281071 Sharshon Pharmacy Inc Pharmacy 154 W Morton Ave, Jacksonville, IL 62650 2019-08-26
1992275499 Brittany Ruth Helmich Counselor 340 W. State St., Jacksonville, IL 62650 2018-11-28
1811391782 Rodney E. Overstreet Hearing Instrument Specialist 1521 W. Walnut, Jacksonville, IL 62650 2014-10-21
1407979818 Jan Ala Speech-Language Pathologist 1111 W Morton, Speechworks, Jacksonville, IL 62650 2007-04-09
1083787592 Eldon G Barrowes Dds & Assoc PC Dentist 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 2006-11-15
1194895979 Joseph J Kozma Internal Medicine 1440 West Walnut, Jacksonville, IL 62650 2006-11-08
1740350529 Susan Weller Dentist 1614 West Lafayette Avenue, Jackson, IL 62650 2006-11-08
1659467793 Shawn M Fry Family Medicine 610 N. Westgate, Jacksonville, IL 62650 2006-10-05
1518050061 Ward Richard Dunseth II Nurse Anesthetist, Certified Registered 1400 W Walnut, Jacksonville, IL 62650 2006-10-02
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033544390 Florida Physician Specialists LLC Radiology 7017 A C Skinner Pkwy, Jacksonville, FL 32256-6932 2013-09-05
1962662775 Curtis Michael Bryant Radiology 2015 Jefferson Street, University of Florida Proton Institute, Jacksonville, FL 32206 2008-06-15
1275791055 Bradford Scott Hoppe Radiology 4500 San Pablo Rd, Jacksonville, FL 32224 2008-05-28
1023282456 Jacksonville Radiation Therapy Services LLC Radiology 7751 Baymeadows Road E, Jacksonville, FL 32256 2008-04-16
1689630949 Mark Emerson Augspurger Radiology 14546 Old Saint Augustine Rd Ste 105, Jacksonville, FL 32258-5469 2006-04-25
1245296904 Ahmed M Akl Radiology 7015 A C Skinner Pkwy Bldg 100, Jacksonville, FL 32256-6932 2006-04-21
1649231291 Randal Hollis Henderson Radiology 2015 N. Jefferson St., Jacksonville, FL 32206 2006-03-31
1679555270 Romaine Charles Nichols Jr. Radiology 2015 Jefferson St, Jacksonville, FL 32206-3531 2005-11-18
1972508299 Paul B Ossi Radiology 10881 San Jose Blvd, Jacksonville, FL 32223-6612 2005-06-14
1801420211 Wen Shen Looi Radiology 2015 Jefferson St, Jacksonville, FL 32206-3531 2020-02-24
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City JACKSONVILLE
Zip Code 62650

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Dataset Information

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.

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