Individual provider Active NPI

Ira F Lobis, MD, F.A.C.P.,F.A.C.G

  • Specialist
  • Newark, DE
National Provider Identifier
1144390857
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C1-0000898 Issued in DE
Practice address
4745 Ogletown Stanton Rd
Newark, DE 19713-2067
Phone
(302) 738-5300
Fax
(302) 731-4822
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C1-0000898 DE Primary

Addresses

Primary practice location

4745 Ogletown Stanton Rd
Newark, DE 19713-2067

Mailing address

303 E Branch Dr
Kennett Square, PA 19348-2686
Phone (610) 444-1974

Other identifiers 1

IdentifierTypeStateIssuer
000106901MedicaidDE

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

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1144390857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E BRANCH DR",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482686",
            "telephone_number": "610-444-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132067",
            "telephone_number": "302-738-5300",
            "fax_number": "302-731-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBIS",
        "first_name": "IRA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD, F.A.C.P.,F.A.C.G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DE",
            "license": "C1-0000898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000106901",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.