Active NPI
Ilicia Lauren Shugarman, M.D.
- Hematology & Oncology Physician
- Neptune Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- ME122974
- Practice address
- 700 3Rd St Ste 302
Neptune Beach, FL 32266-5082 - Phone
- (904) 997-3800
- Fax
- (904) 997-3899
- NPI assigned
- May 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | TRN13818 | FL | |
| Hematology & Oncology Physician | 207RH0003X | ME122974 | FL | Primary |
Addresses
Primary practice location
700 3Rd St Ste 302
Neptune Beach, FL 32266-5082
Mailing address
7015 A C Skinner Pkwy
Suite 1
Jacksonville, FL 32256-6932
Phone (904) 363-2113
Other practice location 1
1375 Roberts Dr
Suite 103
Jacksonville Beach, FL 32250-3210
Phone (904) 997-3800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014413900 | Medicaid | FL | |
| 14ZM4 | Other | FL | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of Florida College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 3Rd St
Suite 302
Neptune Beach, FL 32266-5082
Phone (904) 997-3800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer Specialists, LLC | Current | Accepting new patients | |
| Cancer Specialists, LLC | Hematology & Oncology | Current | Accepting new patients |
Locations
5742 Booth Rd
Ste A
Jacksonville, FL 32207
Phone (904) 739-7779
7015 A C Skinner Pkwy
Ste 1
Jacksonville, FL 32256
Phone (904) 363-2113
1375 Roberts Dr
Ste 103
Jacksonville Beach, FL 32250
Phone (904) 997-3800
700 3rd St
Ste 302
Neptune Beach, FL 32266
Phone (904) 997-3800
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Cancer Specialists of North Florida
- Hematology & Oncology Physician
- Jacksonville, FL
- NPI 1528323268
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center Nassau
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
dba Ascension St. Vincent's Southside
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1396926747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1659506319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7015 A C SKINNER PKWY",
"address_2": "SUITE 1",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566932",
"telephone_number": "904-363-2113",
"fax_number": "904-363-2606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 3RD ST STE 302",
"city": "NEPTUNE BEACH",
"state": "FL",
"postal_code": "322665082",
"telephone_number": "904-997-3800",
"fax_number": "904-997-3899"
}
],
"practiceLocations": [
{
"address_1": "1375 Roberts Dr",
"address_2": "Suite 103",
"address_purpose": "LOCATION",
"city": "Jacksonville Beach",
"state": "FL",
"postal_code": "322503210",
"country_code": "US",
"telephone_number": "904-997-3800",
"fax_number": "904-997-3899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHUGARMAN",
"first_name": "ILICIA",
"middle_name": "LAUREN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-26",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "TRN13818",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "FL",
"license": "ME122974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014413900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "14ZM4",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Neptune Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.