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 1336136654 since 2005. The authorized official on file is Robert Phelan, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1336136654 |
|---|---|
| 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 |
| Fax | 9048253672 |
| Enumeration date | 2005-10-03 |
| Last updated in NPPES | 2012-05-24 |
Authorized official
| Name | Robert Phelan |
|---|---|
| Title | Ceo |
| Phone | 9043632113 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | FL |
| 207RH0003X | Hematology & Oncology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273427309 | Medicaid | FL | — |
| 94890 | Other | FL | BCBS |
Copy-ready billing details
Provider: Integrated Community Oncology Network LLC NPI: 1336136654 Taxonomy: 207RH0003X (Hematology & Oncology Physician) Address: 9 SAN BARTOLA DR, St Augustine, FL, 32086
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1861459661 | Daniele Montgomery | Individual | Hematology & Oncology Physician | St Augustine, FL |
| 1326193764 | Integrated Community Oncology Network LLC | Organization | 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 1336136654 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
What is the NPI number for Integrated Community Oncology Network LLC?
Who is the authorized official for Integrated Community Oncology Network LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-05-24.