Integrated Community Oncology Network LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC

Practice address

5742 Booth Rd
Suite B
Jacksonville, FL 32207-5982

Phone

(904) 636-6911

Fax

(904) 636-6330

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Addresses

Other identifiers 3

Other names 1

• Florida Radiation Oncology Group Doing business as

Locations

Practitioners 66

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scot N Ackerman, MD

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1942205364
  NPD (past)
• Aimee Diane Anderson, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1366539157
  NPD (past)
• Nicole Sunderland Anderson, MD

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1437331733
  NPD (past)
• Safeer Ahmed Ashraf, M.D.

  • Hematology & Oncology Physician
  • Jacksonville, FL
  • NPI 1639254931
  NPD (past)
• Suprith Badarinath, MD

  • Hematology & Oncology Physician
  • Jacksonville, FL
  • NPI 1972508356
  NPD (past)
• Jessica N Bahari-Kashani, M.D.

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1225298631
  NPD (past)
• Jennifer Maurer Bailey, LCSW

  • Clinical Social Worker
  • Fleming Island, FL
  • NPI 1639358302
  NPD (past)
• Susana Barsky, PSYD, LCSW

  • Psychologist
  • Jacksonville, FL
  • NPI 1417251463
  NPD (past)
• Jeffrey A Bubis, DO

  • Medical Oncology Physician
  • Fleming Island, FL
  • NPI 1801891288
  NPD (past)
• Jamie A Cesaretti, MD

  • Radiation Oncology Physician
  • Winter Park, FL
  • NPI 1669444725
  NPD (past)
• Elizabeth P De Cosmo, ARNP

  • Adult Health Nurse Practitioner
  • Davenport, FL
  • NPI 1770582090
  NPD (past)
• Abhijit Vinod Deshmukh, M.D.

  • Radiation Oncology Physician
  • Clermont, FL
  • NPI 1043276231
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273427316",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC6938",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "94890",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Radiation Oncology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Institute for Health Sports Spine Rehabilitation & Pain Management
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• Fredy Alberto Insuasty Jr., FNP-BC
• Mila Insuasty, ARNP
• Integra Concierge Medicine
• Integrated Community Oncology Network LLC
• Integrated Community Oncology Network LLC
• Integrated Community Oncology Network LLC
• Integrated Community Oncology Network LLC
• Integrated Community Oncology Network LLC

• Radiation Oncology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Radiation Oncology Physician in Florida

• 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.