Organization Active NPI

Oncology Medical Center PC

  • Hematology & Oncology Physician
  • Brunswick, GA
National Provider Identifier
1508865684
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
015631 Issued in GA
Legal business name
ONCOLOGY MEDICAL CENTER PC
Practice address
3226 G Hampton Ave
Brunswick, GA 31520-4251
Phone
(912) 265-1212
Fax
(912) 265-2859
NPI assigned
Jul 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Jan Osta
Title
Office Manager
Phone
(912) 265-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 015631 GA Primary

Addresses

Primary practice location

3226 G Hampton Ave
Brunswick, GA 31520-4251

Mailing address

3226 G Hampton Ave
Brunswick, GA 31520-4251
Phone (912) 265-1212

Other identifiers 1

IdentifierTypeStateIssuer
000069297AMedicaidGA

National Provider Directory

National Provider Directory

Locations

3226 Hampton Ave
Ste G
Brunswick, GA 31520
Phone (912) 265-1212

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1508865684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 G HAMPTON AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204251",
            "telephone_number": "912-265-1212",
            "fax_number": "912-265-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 G HAMPTON AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204251",
            "telephone_number": "912-265-1212",
            "fax_number": "912-265-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "OSTA",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-265-1212"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "015631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000069297A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.