NPIMap

Individual provider Active NPI

Carl R Noback, MD

  • Anesthesiology Physician
  • Sarasota, FL
National Provider Identifier
1386620532
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME82169 Issued in FL
Practice address
5700 Midnight Pass Rd
Suite 4
Sarasota, FL 34242-3083
Phone
(561) 400-9900
Fax
(888) 398-3187
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME82169 FL
Anesthesiology Physician 207L00000X ME82169 FL Primary

Addresses

Primary practice location

5700 Midnight Pass Rd
Suite 4
Sarasota, FL 34242-3083

Mailing address

5700 Midnight Pass Rd
Suite 4
Sarasota, FL 34242-3083
Phone (561) 400-9900

Other identifiers 1

IdentifierTypeStateIssuer
76568ROtherFLMEDICARE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ips of St Mary'S LLC Anesthesiology PastSince Sep 1, 2009 Accepting new patients
Anesthesia Health Care Partners of Florida Inc Anesthesiology Past Accepting new patients
Ocala Surgical Center Anesthesia Inc Past Accepting new patients
Ips of Deltona LLC Anesthesiology PastSince May 4, 2009 Accepting new patients
Suncoast Anesthesia Partners, LLC Anesthesiology Past Accepting new patients
Suncoast Anesthesia Consultants LLC Anesthesiology Past Accepting new patients
Ips of St Louis LLC Anesthesiology PastSince Mar 30, 2010 Accepting new patients
CSPM Anesthesia LLC Anesthesiology PastSince Jan 25, 2017 Accepting new patients
Ips of Phoenix LLC Anesthesiology PastSince Apr 26, 2011 Accepting new patients
Sacher Anesthesia and Pain Management Inc Anesthesiology Past Accepting new patients
Ips of Ft Myers LLC Anesthesiology PastSince Aug 10, 2009 Accepting new patients
Ips of Palm Coast LLC Anesthesiology PastSince Oct 22, 2009 Accepting new patients
Clay Pain Center Physicians LLC PastSince Jul 9, 2009 Accepting new patients
Ips of Jacksonville LLC PastSince Jun 1, 2009 Accepting new patients
Ips of New Smyrna LLC Anesthesiology PastSince Jan 8, 2010 Accepting new patients

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1386620532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 MIDNIGHT PASS RD",
            "address_2": "SUITE 4",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342423083",
            "telephone_number": "561-400-9900",
            "fax_number": "888-398-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 MIDNIGHT PASS RD",
            "address_2": "SUITE 4",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342423083",
            "telephone_number": "561-400-9900",
            "fax_number": "888-398-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBACK",
        "first_name": "CARL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME82169",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME82169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "76568R",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.