NPIMap

Organization Active NPI

Integrated Community Oncology Network LLC

Doing business as Florida Radiation Oncology Group

  • Radiation Oncology Physician
  • Jacksonville, FL
National Provider Identifier
1043230402
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Doing business as
Florida Radiation Oncology Group
Practice address
5742 Booth Rd
Suite B
Jacksonville, FL 32207-5982
Phone
(904) 636-6911
Fax
(904) 636-6330
NPI assigned
Jul 20, 2006
Last updated
Jan 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shyam B Paryani, MD
Title
Director
Phone
(904) 309-8680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

5742 Booth Rd
Suite B
Jacksonville, FL 32207-5982

Mailing address

PO Box 19675
Jacksonville, FL 32245-9675
Phone (904) 309-8680

Other names 1

  • Florida Radiation Oncology Group Doing business as

National Provider Directory

National Provider Directory

Locations

1715 Eagle Harbor Pkwy
Ste C
Fleming Island, FL 32003
Phone (904) 264-6201

12276 San Jose Blvd
Ste 206
Jacksonville, FL 32223
Phone (904) 260-9445

14546 Old St Augustine Rd
Ste 217
Jacksonville, FL 32258

14546 Old St Augustine Rd
Ste 317
Jacksonville, FL 32258
Phone (904) 260-9445

820 Prudential Dr
Ste 414
Jacksonville, FL 32207
Phone (904) 306-9229

233 3rd St N
Ste 203
Jacksonville Beach, FL 32250
Phone (904) 241-5188

1689 Eagle Harbor Pkwy
Fl Oncology
Orange Park, FL 32003
Phone (904) 264-6201

600 Zeagler Dr
Fl Oncology
Palatka, FL 32177
Phone (386) 328-8791

200 N Mangoustine Ave
Sanford, FL 32771
Phone (407) 833-7415

300 Health Park Blvd
Ste 1004
St Augustine, FL 32086

2500 Starling St
Brunswick, GA 31520
Phone (912) 466-5100

Practitioners & affiliated clinicians

Practitioners 66

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 66

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1043230402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19675",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322459675",
            "telephone_number": "904-309-8680",
            "fax_number": "904-345-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5742 BOOTH RD",
            "address_2": "SUITE B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075982",
            "telephone_number": "904-636-6911",
            "fax_number": "904-636-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "PARYANI",
        "authorized_official_first_name": "SHYAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-309-8680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Radiation Oncology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.