CANCER SPECIALISTS OF NORTH FLORIDA
NPI 1023054921
Internal Medicine - Hematology & Oncology in Orange Park, FL
NPI Status: Active since June 21, 2006
Contact Information
1689 EAGLE HARBOR PKWY
SUITE C
ORANGE PARK, FL
ZIP 32003
Phone: (904) 264-6201
Fax: (904) 264-6858
- Organization
- Internal Medicine
- Hematology & Oncology
- CLIA Number: 10D2009361
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-13-2027
About CANCER SPECIALISTS OF NORTH FLORIDA
This page provides the complete NPI Profile along with additional information for Cancer Specialists Of North Florida, an internist established in Orange Park, Florida operating as a Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1023054921 assigned on June 2006. The practitioner's primary taxonomy code is 207RH0003X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Cancer Specialists Of North Florida operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Cancer Specialists Of North Florida. The authorized official of this NPI record is Mr. Robert J Phelan (Ceo)
- NPI
- 1023054921
- Provider Legal Name
- INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
- Other Organization Name
- CANCER SPECIALISTS OF NORTH FLORIDA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1689 EAGLE HARBOR PKWY SUITE C ORANGE PARK, FL 32003
- Location Phone
- (904) 264-6201
- Location Fax
- (904) 264-6858
- Mailing Address
- 9143 PHILIPS HWY SUITE 560 JACKSONVILLE, FL 32256
- Mailing Phone
- (904) 363-2113
- Mailing Fax
- (904) 264-6858
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-21-2006
- Last Update Date
- 05-24-2012
- Code Navigator
An internist like Cancer Specialists Of North Florida is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Hematology & Oncology
- Taxonomy Code
- 207RH0003X
- Type
- Allopathic & Osteopathic Physicians
- License State
- FL
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| K7038H | MEDICARE PIN (08) | ||
| DC6938 | MEDICARE PIN (08) | FL | |
| 94890 | OTHER (01) | FL | BCBS |
| 273427321 | MEDICAID (05) | FL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2009361
- Facility Type
- Physician Office
- Certificate Effective Date
- January 14, 2025
- Certificate Expiration Date
- January 13, 2027
- Laboratory Director
- DR. MEHDI M. MOEZI
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Cancer Specialists Of North Florida after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1023054921, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
ORANGE PARK, FL 32003
ORANGE PARK, FL 32003
FLEMING ISLAND, FL 32003
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023054921, enumerated as an "organization" on June 21, 2006.
The provider is located at 1689 EAGLE HARBOR PKWY SUITE C ORANGE PARK, FL 32003 and the phone number is (904) 264-6201.
Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
