Organization Active NPI

Ocala Oncology Center PL

  • Hematology & Oncology Physician
  • Panama City, FL
National Provider Identifier
1487052171
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
OCALA ONCOLOGY CENTER PL
Practice address
2100 State Ave
Panama City, FL 32405-4587
Phone
(850) 763-0036
Fax
(850) 763-0259
NPI assigned
Dec 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Dr. Andrew M. Weber, M.D.
Title
Pharmacy Director
Phone
(850) 763-0036

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

2100 State Ave
Panama City, FL 32405-4587

Mailing address

2100 State Ave
Panama City, FL 32405-4587
Phone (850) 763-0036

Other identifiers 2

IdentifierTypeStateIssuer
265199819MedicaidFL
265199800MedicaidFL

Other names 1

  • FLORIDA CANCER AFFILIATES-NORTH FLORIDA Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1031531Ocala Oncology Center PL Dba2100 State Ave, Panama City, FL 32405AccreditationDec 1, 2026

National Provider Directory

National Provider Directory

Locations

7327 Little Rd
FL 34654

NPI Registry JSON

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1487052171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 STATE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054587",
            "telephone_number": "850-763-0036",
            "fax_number": "850-763-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STATE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054587",
            "telephone_number": "850-763-0036",
            "fax_number": "850-763-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCALA ONCOLOGY CENTER PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "850-763-0036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265199819",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265199800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORIDA CANCER AFFILIATES-NORTH FLORIDA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FLORIDA CANCER AFFILIATES-NORTH FLORIDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.