Active NPI
Patriot Oncology LLC
- Oncology Clinic/Center
- Ormond Beach, FL
National Provider Identifier
1770142523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Clinic/Center
- Legal business name
- PATRIOT ONCOLOGY LLC
- Practice address
- 588 Sterthaus Dr
Ormond Beach, FL 32174-5128 - Phone
- (904) 825-4368
- NPI assigned
- Jun 6, 2019
- 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
- Roy H Hinman, MD
- Title
- Ceo/Cmo
- Phone
- (904) 825-4368
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Clinic/Center | 261QX0200X | Primary |
Addresses
Primary practice location
588 Sterthaus Dr
Ormond Beach, FL 32174-5128
Mailing address
100 Arricola Ave
St Augustine, FL 32080-4515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09732A | Other | FL | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1500 Beville Rd
Daytona Beach, FL 32114
Phone (386) 238-9217
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Daytona Beach, FL
- NPI 1336120906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771459200000",
"number": "1770142523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ARRICOLA AVE",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320804515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "588 STERTHAUS DR",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745128",
"telephone_number": "904-825-4368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRIOT ONCOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-06",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A",
"authorized_official_last_name": "HINMAN",
"authorized_official_first_name": "ROY",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CEO/CMO",
"authorized_official_telephone_number": "904-825-4368",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QX0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "09732A",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.