INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC (NPI# 1952368656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952368656 |
| Entity Type | Organization |
| Organization Name | INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC |
| Other Organization Name | ST AUGUSTINE CANCER CENTER |
| Practice Address |
300 Health Park Blvd Suite 1006 St Augustine FL 32086-3707 |
| Mailing Address |
9143 Philips Hwy Suite 560 Jacksonville FL 32256-1348 |
| Practice Telephone | 9048290443 |
| Practice Fax Number | 9048245797 |
| Mailing Telephone | 9043632113 |
| Mailing Fax Number | 9043632113 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT J PHELAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9043632113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Augustine Cancer Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023054921 | Integrated Community Oncology Network LLC | Internal Medicine | 1689 Eagle Harbor Pkwy, Suite C, Orange Park, FL 32003-4817 | 2006-06-21 |
| 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 |
| Street Address |
300 HEALTH PARK BLVD SUITE 1006 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568464774 | Derek D Muehrcke | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 300 Health Park Blvd, Ste 5000, St Augustine, FL 32086-3705 | 2005-06-01 |
| 1366801052 | Elizabeth Arnett | Advanced Practice Midwife | 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086-3707 | 2016-02-23 |
| 1932521200 | Kerry Hannifin Latka | Nurse Practitioner | 300 Health Park Blvd, Suite 4000, St Augustine, FL 32086-3707 | 2014-01-06 |
| 1083951024 | Lorraine M Searle | Advanced Practice Midwife | 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086-3707 | 2013-01-10 |
| 1467722025 | First Coast Endocrinology, P.a. | Internal Medicine | 300 Health Park Blvd, Suite 3008, St Augustine, FL 32086-3707 | 2012-01-12 |
| 1194011908 | Faisal Usman | Internal Medicine | 300 Health Park Blvd, Ste 4000, St Augustine, FL 32086-3707 | 2011-06-21 |
| 1336446525 | Florida Woman Care LLC | Obstetrics & Gynecology | 300 Health Park Blvd, #3002, St Augustine, FL 32086-3703 | 2011-02-24 |
| 1588987747 | Gerard M. Gerling M.d., P.a. | Psychiatry & Neurology | 300 Health Park Blvd, Suite 4002, St Augustine, FL 32086-3707 | 2010-03-02 |
| 1528206968 | Michele Griffin Rogero | Advanced Practice Midwife | 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086-3707 | 2009-01-22 |
| 1992967541 | Elizabeth H Meadows | Advanced Practice Midwife | 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086-3707 | 2008-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| 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 |
|---|---|---|---|---|
| 1477558708 | Keith M Justice | Internal Medicine | 9 San Bartola Dr, St Augustine, FL 32086-5767 | 2005-06-14 |
| 1548462021 | Montgomery and Associates Md | Internal Medicine | 300 Health Park Blvd, Ste 1006, St Augustine, FL 32086-3707 | 2007-06-05 |
| 1326193764 | Integrated Community Oncology Network LLC | Internal Medicine | 9 San Bartola Dr, St Augustine, FL 32086-5767 | 2007-01-24 |
| 1861459661 | Daniele J Montgomery | Internal Medicine | 9 San Bartola Dr, St Augustine, FL 32086-5767 | 2006-04-27 |
| 1265429989 | Marc A Warmuth | Internal Medicine | 9 San Bartola Dr, St Augustine, FL 32086-5767 | 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 | ST AUGUSTINE |
| Zip Code | 32086 |
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.