Active NPI
Ibrahim A Gobar, MD
- Medical Oncology Physician
- Pittsburg, KS
National Provider Identifier
1114002144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 04-23737
- Practice address
- 1102 E Centennial Dr
Pittsburg, KS 66762-6643 - Phone
- (620) 232-0273
- Fax
- (620) 231-0081
- NPI assigned
- Oct 26, 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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 04-23737 | KS | Primary |
Addresses
Primary practice location
1102 E Centennial Dr
Pittsburg, KS 66762-6643
Mailing address
PO Box 1266
Pittsburg, KS 66762-1266
Phone (620) 232-0273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10013868A | Medicaid | KS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-23737 | KS | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114002144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1266",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667621266",
"telephone_number": "620-232-0273",
"fax_number": "620-231-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 E CENTENNIAL DR",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667626643",
"telephone_number": "620-232-0273",
"fax_number": "620-231-0081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOBAR",
"first_name": "IBRAHIM",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "KS",
"license": "04-23737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10013868A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.