Integrated Community Oncology Network LLC
Integrated Community Oncology Network LLC is a healthcare organization registered as Hematology & Oncology Physician in St Augustine, FL, holding Type 2 (organization) NPI 1326193764 since 2007. The authorized official on file is Robert Phelan, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1326193764 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Integrated Community Oncology Network LLC |
| Other name | <Unavail> |
| Practice address | 9 SAN BARTOLA DR, St Augustine, FL, 32086 |
| Phone | 9048254500 |
| Enumeration date | 2007-01-24 |
| Last updated in NPPES | 2012-05-24 |
Authorized official
| Name | Robert Phelan |
|---|---|
| Title | Executive Director |
| Phone | 9043632113 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207RH0003X | Hematology & Oncology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94890 | Other | FL | BCBS |
| 273427322 | Medicaid | FL | — |
Copy-ready billing details
Provider: Integrated Community Oncology Network LLC NPI: 1326193764 Taxonomy: 207RH0003X (Hematology & Oncology Physician) Address: 9 SAN BARTOLA DR, St Augustine, FL, 32086
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1336136654 | Integrated Community Oncology Network LLC | Organization | Hematology & Oncology Physician | St Augustine, FL |
| 1861459661 | Daniele Montgomery | Individual | Hematology & Oncology Physician | St Augustine, FL |
| 1922207547 | Birendra Kc | Individual | Hematology & Oncology Physician | St Augustine, FL |
| 1689925240 | Cancer Specialists LLC | Organization | Hematology & Oncology Physician | St Augustine, FL |
| 1942745997 | Krista Barber | Individual | Clinical Social Worker | St Augustine, FL |
| 1639727316 | Alysa Gregory | Individual | Clinical Social Worker | St Augustine, FL |
Verify this record
Cross-check NPI 1326193764 against the authoritative CMS record: view Integrated Community Oncology Network LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Integrated Community Oncology Network LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-05-24.