Active NPI
LCB Physicians, PLLC
- Surgery of the Hand (Surgery) Physician
- New Smyrna Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Surgery) Physician
- Legal business name
- LCB PHYSICIANS, PLLC
- Practice address
- 410 Palmetto St
New Smyrna Beach, FL 32168-7323 - Phone
- (386) 267-6224
- Fax
- (386) 703-2304
- NPI assigned
- Jan 16, 2020
- Last updated
- Mar 1, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Louis Charles Blaum III, MD
- Title
- Owner
- Phone
- (813) 313-8013
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Surgery) Physician | 2086S0105X | NU | Primary |
Addresses
Primary practice location
410 Palmetto St
New Smyrna Beach, FL 32168-7323
Mailing address
1648 Taylor Rd # 606
Port Orange, FL 32128-6753
Phone (813) 313-8013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
410 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 267-6224
1648 Taylor Rd
Port Orange, FL 32128
Phone (386) 767-1000
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.
-
- Surgery of the Hand (Surgery) Physician
- New Smyrna Beach, FL
- NPI 1801846373
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583020800000",
"number": "1275163461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1648 TAYLOR RD # 606",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321286753",
"telephone_number": "813-313-8013",
"fax_number": "386-703-2304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 PALMETTO ST",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321687323",
"telephone_number": "386-267-6224",
"fax_number": "386-703-2304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LCB PHYSICIANS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-16",
"last_updated": "2020-03-01",
"certification_date": "2020-03-01",
"status": "A",
"authorized_official_last_name": "BLAUM",
"authorized_official_first_name": "LOUIS",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-313-8013",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Smyrna Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2020; 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.