FLORIDA RADIATION ONCOLOGY GROUP – NPI #1861427155
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.

FLORIDA RADIATION ONCOLOGY GROUP is a radiologist located in SAINT AUGUSTINE, FL. NPPES has assigned the NPI number 1861427155 to FLORIDA RADIATION ONCOLOGY GROUP on July 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FLORIDA RADIATION ONCOLOGY GROUP” is a dba name, the actual legal business name for this organization is INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC. 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 11 years ago on Jan 21, 2015. 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 FLORIDA RADIATION ONCOLOGY GROUP below.

NPI Profile for
INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC

NPI Number
1861427155
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
INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Doing Business As (dba): FLORIDA RADIATION ONCOLOGY GROUP
Primary location
300 HEALTH PARK BLVD
SUITE 1008
SAINT AUGUSTINE, FL 32086-3707
Phone: (904) 824-5189 Fax: (904) 824-9109
Mailing address
PO BOX 19675
JACKSONVILLE, FL 32245-9675
Phone: (904) 309-8680 Fax: (904) 345-5847
Organization Subpart
No
Authorized Official
SHYAM PARYANI
DIRECTOR
Phone: (904) 309-8680
Updated
Identifiers

Identifiers for FLORIDA RADIATION ONCOLOGY GROUP

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
OTHERBLUE CROSS BLUE SHIELDFL94890
OTHERMEDICARE RAILROADFLDC6938
MEDICAIDFL273427311
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.