Organization Active NPI

Howard L. Offenberg, MD,PL

  • Internal Medicine Physician
  • Ormond Beach, FL
National Provider Identifier
1225351752
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0058274 Issued in FL
Legal business name
HOWARD L. OFFENBERG, MD,PL
Practice address
325 Clyde Morris Blvd
Suite 350
Ormond Beach, FL 32174-8178
Phone
(386) 673-7227
Fax
(386) 673-9940
NPI assigned
Mar 11, 2010
Last updated
Mar 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Dr. Howard L Offenberg, MDNPI 1164532925
Title
Physicain
Phone
(386) 673-7227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0058274 FL Primary

Addresses

Primary practice location

325 Clyde Morris Blvd
Suite 350
Ormond Beach, FL 32174-8178

Mailing address

40 SW 12TH St
Unit C101
Ocala, FL 34471-6525
Phone (352) 351-3868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101230000935 FL Part B Supplier - Clinic/Group Practice 3476741752 Receives reassigned benefits from 1 practitioner
Practice locations: Ormond Beach, FL

National Provider Directory

National Provider Directory

Locations

325 Clyde Morris Blvd
Ste 350
Ormond Beach, FL 32174
Phone (386) 673-7227

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1225351752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SW 12TH ST",
            "address_2": "UNIT C101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716525",
            "telephone_number": "352-351-3868",
            "fax_number": "352-351-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD",
            "address_2": "SUITE 350",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748178",
            "telephone_number": "386-673-7227",
            "fax_number": "386-673-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD L. OFFENBERG, MD,PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "OFFENBERG",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAIN",
        "authorized_official_telephone_number": "386-673-7227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0058274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.