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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036091247 | 05 | |
BLUE CROSS BLUE SHIELD | 0006923083 | 01 | |
HEALTH ALLIANCE | 055808 | 01 | |
RAILROAD MEDICARE | 920003901 | 01 |
Street Address |
567 N WESTGATE AVE |
City | JACKSONVILLE |
State | IL |
Zip Code | 62650-1156 |
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 |
Find all providers in zip 62650 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
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 |
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 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 62650 |
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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.