NPIMap

Organization Active NPI

Oncology Physicians PA

  • Medical Oncology Physician
  • Clearwater, FL
National Provider Identifier
1265430136
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME34925 Issued in FL
Legal business name
ONCOLOGY PHYSICIANS PA
Practice address
3253 N McMullen Booth Rd
Suite 100
Clearwater, FL 33761-2043
Phone
(727) 725-8102
Fax
(727) 796-7009
NPI assigned
Jul 13, 2005
Last updated
Sep 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Dr. Charles Athan Brooks, MDNPI 1801894761
Title
President
Phone
(727) 725-8102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X ME34925 FL Primary

Addresses

Primary practice location

3253 N McMullen Booth Rd
Suite 100
Clearwater, FL 33761-2043

Mailing address

3253 N McMullen Booth Rd Ste 100
Clearwater, FL 33761-2043
Phone (727) 725-8102

Other identifiers 1

IdentifierTypeStateIssuer
265956500MedicaidFL

National Provider Directory

National Provider Directory

Locations

3253 N McMullen Booth Rd
Ste 100
Clearwater, FL 33761
Phone (727) 725-8102

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1265430136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 N MCMULLEN BOOTH RD STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612043",
            "telephone_number": "727-725-8102",
            "fax_number": "727-796-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3253 N MCMULLEN BOOTH RD",
            "address_2": "SUITE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612043",
            "telephone_number": "727-725-8102",
            "fax_number": "727-796-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-725-8102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME34925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265956500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.