ICON ONCOLOGY – NPI #1821085101
Internal Medicine
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.
ICON ONCOLOGY is a provider located in ORANGE PARK, FL. NPPES has assigned the NPI number 1821085101 to ICON ONCOLOGY on October 03, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ICON ONCOLOGY” is a dba name, the actual legal business name for this organization is INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology
The NPI profile was previously updated about 14 years ago on Nov 28, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ICON ONCOLOGY below.
NPI Profile for
INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
(more than 20 years ago)
SUITE 200
ORANGE PARK, FL 32073 Phone: (904) 276-2303 Fax: (904) 276-3660
SUITE 805
JACKSONVILLE, FL 32216 Phone: (904) 309-8680 Fax: (904) 345-5841
PRESIDENT
Phone: (904) 276-2303
Identifiers for ICON ONCOLOGY
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BCBS | FL | 94870 |
| MEDICAID | FL | 273427307 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RH0003X - Internal Medicine / Hematology & Oncology (Primary) |
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| 332B00000X - Durable Medical Equipment & Medical Supplies |
FL |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.