Active NPI
Oncology Medical Center PC
- Hematology & Oncology Physician
- Brunswick, GA
National Provider Identifier
1508865684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 015631
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000069297A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.