Clifford W Lober, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0031571 Issued in FL

Practice address

505 W Oak St
Suite 201
Kissimmee, FL 34741-4986

Phone

(407) 846-7166

Fax

(407) 846-3060

NPI assigned

Aug 22, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Duke University School of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clifford W. Lober MD PA

  • Dermatology Physician
  • Kissimmee, FL
  • NPI 1376751305
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1023000437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W OAK ST",
            "address_2": "SUITE 201",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414986",
            "telephone_number": "407-846-7166",
            "fax_number": "407-846-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W OAK ST",
            "address_2": "SUITE 201",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414986",
            "telephone_number": "407-846-7166",
            "fax_number": "407-846-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBER",
        "first_name": "CLIFFORD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0031571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliza Liz
• Idalys D Llanes
• Carmen D Llanos Padilla, MA, CPT, B.HLTH.SCI
• Gloria Lliran
• LMT Preventive Medical Services LLC
• Princess J Lock, APRN
• Tiffany Marie Lock, APRN
• Gideon Napomaikaiapau Logan, MD
• Sarah Logan, RBT
• Zoe Logan

• Specialist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.