INTER COMMUNITY CANCER INSTITUTE LLC
NPI 1205865433
Radiology - Radiation Oncology in Clermont, FL

NPI Status: Active since July 01, 2006

Contact Information

1920 DON WICKHAM DR
SUITE 130
CLERMONT, FL
ZIP 34711
Phone: (352) 243-9709
Fax: (352) 243-8703

Get Directions Write a Review

  • Organization
  • Radiology
  • Radiation Oncology
  • Accepts Insurance

About INTER COMMUNITY CANCER INSTITUTE LLC

This page provides the complete NPI Profile along with additional information for Inter Community Cancer Institute Llc, a provider established in Clermont, Florida operating as a Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1205865433 assigned on July 2006. The practitioner's primary taxonomy code is 2085R0001X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Inter Community Cancer Institute Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Hal M Jacobson Md (Medical Director)

NPI
1205865433
Provider Name
INTER COMMUNITY CANCER INSTITUTE LLC
Entity Type
Organization
Location Address
1920 DON WICKHAM DR SUITE 130 CLERMONT, FL 34711
Location Phone
(352) 243-9709
Location Fax
(352) 243-8703
Mailing Address
1920 DON WICKHAM DR STE 130 CLERMONT, FL 34711
Mailing Phone
(352) 243-9709
Mailing Fax
(352) 243-8703
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-01-2006
Last Update Date
04-29-2015
Code Navigator

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

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

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:

  • Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Catastrophic (+ Incentives) - HMO
  • Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO

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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. HAL M JACOBSON MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(352) 243-9709

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
72079OTHER (01)FLBCBS
K8033MEDICARE PIN (08)FL 
274517800MEDICAID (05)FL 
72079OTHER (01)FLHEALTH OPTIONS
DN5766OTHER (01)FLRR MEDICARE

Reviews for INTER COMMUNITY CANCER INSTITUTE LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1205865433, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 8 → 16 → 7 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 1 + 6 + 6 + 1 + 0 + 4 + 6 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1205865433.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1920 DON WICKHAM DR, SUITE 325
CLERMONT, FL 34711
Dermatology
1920 DON WICKHAM DR, SUITE 330
CLERMONT, FL 34711
Radiology (Radiation Oncology)
1920 DON WICKHAM DR, STE. 130
CLERMONT, FL 34711
Radiology (Radiation Oncology)
1920 DON WICKHAM DR, SUITE130
CLERMONT, FL 34711
Family Medicine
1920 DON WICKHAM DR, SUITE 100 & 105
CLERMONT, FL 34711
Nurse Practitioner (Family)
1920 DON WICKHAM DR
CLERMONT, FL 34711
Physician Assistant (Medical)
1920 DON WICKHAM DR
CLERMONT, FL 34711
Physician Assistant
1920 DON WICKHAM DR
CLERMONT, FL 34711
Nurse Practitioner
1920 DON WICKHAM DR
CLERMONT, FL 34711

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205865433, enumerated as an "organization" on July 01, 2006.

The provider is located at 1920 DON WICKHAM DR SUITE 130 CLERMONT, FL 34711 and the phone number is (352) 243-9709.

Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.

The provider might be accepting Accepts: Wellpoint, Blue Cross Blue Shield, Medicare,. Please consult your insurance carrier or call the provider to verify.