ACKERMAN CANCER CENTER, P.A. – NPI #1407885502
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

ACKERMAN CANCER CENTER, P.A. is a radiologist located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1407885502 to ACKERMAN CANCER CENTER, P.A. on July 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is FIRST COAST ONCOLOGY, P.A.. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 3 years ago on Jul 13, 2023. 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 ACKERMAN CANCER CENTER, P.A. below.

NPI Profile for
ACKERMAN CANCER CENTER, P.A.

NPI Number
1407885502
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ACKERMAN CANCER CENTER, P.A.
Former Legal Business Name: FIRST COAST ONCOLOGY, P.A.
Primary location
2 SHIRCLIFF WAY
JACKSONVILLE, FL 32204-4753
Phone: (904) 990-5250 Fax: (904) 990-5850
Mailing address
10881 SAN JOSE BLVD
JACKSONVILLE, FL 32223-6612
Phone: (904) 880-5522 Fax: (904) 880-5533
Organization Subpart
No
Authorized Official
SCOT ACKERMAN
PRESIDENT
Phone: (904) 866-2077
Updated
Certification Date
Jul 13, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ACKERMAN CANCER CENTER, P.A.

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.

DescriptionIssuerStateIdentifier
otherAETNA HMOFL0680444
otherAETNA PPOFL4643435
medicaidFL253854701
medicaidGA300037956C
Taxonomy Code(s)

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
2085R0001X
- Radiology / Radiation Oncology (Primary)

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.