KASRAEIAN UROLOGY DIVISON OF ICON – NPI #1649574500
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

KASRAEIAN UROLOGY DIVISON OF ICON is an urologist located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1649574500 to KASRAEIAN UROLOGY DIVISON OF ICON on January 06, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KASRAEIAN UROLOGY DIVISON OF ICON” 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 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 14 years ago on Jun 15, 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 KASRAEIAN UROLOGY DIVISON OF ICON below.

NPI Profile for
INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC

NPI Number
1649574500
Enumeration Date

(more than 15 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): KASRAEIAN UROLOGY DIVISON OF ICON
Primary location
6269 BEACH BLVD
SUITE 2
JACKSONVILLE, FL 32216-2768
Phone: (904) 727-7955 Fax: (904) 727-7976
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AHMAD KASRAEIAN
KASRAEIAN UROLOGY DIVISION MANAGER
Phone: (904) 727-7955
Updated
Identifiers

Identifiers for KASRAEIAN UROLOGY DIVISON OF ICON

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
MEDICAIDFL273427300
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
208800000X
- Urology (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.