Carl R Noback MD, PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

022611 Issued in GA

Legal business name

CARL R NOBACK MD, PC

Practice address

3510 Moye TRL
Duluth, GA 30097-6216

Phone

(561) 400-9900

Fax

(561) 208-8386

NPI assigned

Feb 7, 2011

Organization subpart

No

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

Authorized official

Name

Carl R Noback, MD

Title

President

Phone

(561) 400-9900

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1033415146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 MOYE TRL",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300976216",
            "telephone_number": "561-400-9900",
            "fax_number": "561-208-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 MOYE TRL",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300976216",
            "telephone_number": "561-400-9900",
            "fax_number": "561-208-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL R NOBACK MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "NOBACK",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-400-9900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "022611",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "022611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.