Active NPI
Integrated Community Oncology Network LLC
- Hematology & Oncology Physician
- Palatka, FL
National Provider Identifier
1730176017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
- Practice address
- 600 Zeagler Drive
Suite 1
Palatka, FL 32177 - Phone
- (386) 325-8140
- Fax
- (386) 325-2214
- NPI assigned
- Oct 3, 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
- Thomas A Marsland, M.D.
- Title
- President
- Phone
- (904) 276-2303
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | FL |
Addresses
Primary practice location
600 Zeagler Drive
Suite 1
Palatka, FL 32177
Mailing address
3599 University Avenue
Suite 805
Jacksonville, FL 32216
Phone (904) 309-8680
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273427302 | Medicaid | FL | |
| 94890 | Other | FL | BCBS |
Other names 1
- ICON Oncology
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354060800000",
"number": "1730176017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3599 UNIVERSITY AVENUE",
"address_2": "SUITE 805",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32216",
"telephone_number": "904-309-8680",
"fax_number": "904-345-5841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 ZEAGLER DRIVE",
"address_2": "SUITE 1",
"city": "PALATKA",
"state": "FL",
"postal_code": "32177",
"telephone_number": "386-325-8140",
"fax_number": "386-325-2214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-03",
"last_updated": "2012-11-28",
"status": "A",
"authorized_official_last_name": "MARSLAND",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-276-2303",
"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": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273427302",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "94890",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ICON Oncology",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Palatka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.