Icp&R Associates, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS4407 Issued in FL

Legal business name

ICP&R ASSOCIATES, INC.

Practice address

1404 Del Prado Blvd S
Suite 110
Cape Coral, FL 33990-3774

Phone

(239) 772-3232

Fax

(239) 458-3272

NPI assigned

Jul 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Smith, D.C.NPI 1255396990

Title

President

Phone

(239) 772-3232

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark A Smith, D.C.

  • Chiropractor
  • Cape Coral, FL
  • NPI 1255396990
  Medicare reassignment Care Compare group NPD Authorized official
• Walter B Flesner III, D.O.

  • Family Medicine Physician
  • Cape Coral, FL
  • NPI 1922063742
  Medicare reassignment Care Compare group NPD
• Brian Edward Reynolds, DO

  • Family Medicine Physician
  • Harlem, MT
  • NPI 1407810963
  NPD (past)

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1689839573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 DEL PRADO BLVD S",
            "address_2": "SUITE 110",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903774",
            "telephone_number": "239-772-3232",
            "fax_number": "239-458-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 DEL PRADO BLVD S",
            "address_2": "SUITE 110",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903774",
            "telephone_number": "239-772-3232",
            "fax_number": "239-458-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICP&R ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-772-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5040",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS4407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Agustin Ibanez Vera, CBHCM-S
• Roberto Javier Ibarra Prado, RBT-23-304399
• Danilo Ibarra
• Hoda M Ibrahim, RPH
• Jalal Ibrahim, DO
• Idyllium Behavioral Health PLLC
• Yoandris Igarza Oconor, APRN
• Ailyn Iglesias Hernandez
• Yanneri Iglesias Manchon
• Yaniris Iglesias

• Family Medicine Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.