Active NPI
Paul W Kolbert, MD
- Anesthesiology Physician
- Fort Lauderdale, FL
National Provider Identifier
1083678874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME46475
- Practice address
- 3601 W Commercial Blvd
C/O Anesco North Broward LLC
Fort Lauderdale, FL 33309-3300 - Phone
- (954) 485-5666
- Fax
- (954) 484-1651
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME46475 | FL | Primary |
Addresses
Primary practice location
3601 W Commercial Blvd
C/O Anesco North Broward LLC
Fort Lauderdale, FL 33309-3300
Mailing address
3601 W Commercial Blvd
C/O Anesco North Broward LLC
Fort Lauderdale, FL 33309-3300
Phone (954) 485-5666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048411300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME46475 | FL | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1083678874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 W COMMERCIAL BLVD",
"address_2": "C/O ANESCO NORTH BROWARD LLC",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093300",
"telephone_number": "954-485-5666",
"fax_number": "954-484-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W COMMERCIAL BLVD",
"address_2": "C/O ANESCO NORTH BROWARD LLC",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093300",
"telephone_number": "954-485-5666",
"fax_number": "954-484-1651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLBERT",
"first_name": "PAUL",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME46475",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "048411300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.