Active NPI
Rafael J Nobo Jr M.D., P.a.
- Obstetrics & Gynecology Physician
- Bartow, FL
National Provider Identifier
1326316183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME41315
- Legal business name
- RAFAEL J NOBO JR M.D., P.A.
- Practice address
- 222 W Main St
Suite B
Bartow, FL 33830-4531 - Phone
- (863) 533-8944
- Fax
- (863) 533-1577
- NPI assigned
- Dec 8, 2011
- 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
- Dr. Rafael J Nobo Jr., M.D., P.A.
- Title
- Owner/Physician
- Phone
- (863) 533-8944
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME41315 | FL | Primary |
Addresses
Primary practice location
222 W Main St
Suite B
Bartow, FL 33830-4531
Mailing address
222 W Main St
Suite B
Bartow, FL 33830-4531
Phone (863) 533-8944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53722 | Other | FL | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Bartow, FL
- NPI 1588670061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323907200000",
"number": "1326316183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 W MAIN ST",
"address_2": "SUITE B",
"city": "BARTOW",
"state": "FL",
"postal_code": "338304531",
"telephone_number": "863-533-8944",
"fax_number": "863-533-1577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 W MAIN ST",
"address_2": "SUITE B",
"city": "BARTOW",
"state": "FL",
"postal_code": "338304531",
"telephone_number": "863-533-8944",
"fax_number": "863-533-1577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAFAEL J NOBO JR M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-08",
"last_updated": "2011-12-15",
"status": "A",
"authorized_official_last_name": "NOBO",
"authorized_official_first_name": "RAFAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "863-533-8944",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D., P.A."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME41315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "53722",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bartow, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.