NPIMap

Organization Active NPI

Icc Healthcare LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Boca Raton, FL
National Provider Identifier
1720210586
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
ICC HEALTHCARE LLC
Practice address
1875 NW Corporate Blvd
Suite 270
Boca Raton, FL 33431-8542
Phone
(561) 997-0821
Fax
(561) 997-0849
NPI assigned
Aug 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Authorized official

Name
Dr. Phillip William Ludwig, MDNPI 1629025176
Title
President
Phone
(561) 997-0821

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
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X Primary

Addresses

Primary practice location

1875 NW Corporate Blvd
Suite 270
Boca Raton, FL 33431-8542

Mailing address

1875 NW Corporate Blvd
Suite 270
Boca Raton, FL 33431
Phone (561) 997-0821

National Provider Directory

National Provider Directory

Locations

1875 NW Corporate Blvd
Ste 270
Boca Raton, FL 33431
Phone (561) 997-0849

6000 Feldwood Rd
#741776
College Park, GA 30349

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or 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": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1720210586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 NW CORPORATE BLVD",
            "address_2": "SUITE 270",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-997-0821",
            "fax_number": "561-997-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 NW CORPORATE BLVD",
            "address_2": "SUITE 270",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318542",
            "telephone_number": "561-997-0821",
            "fax_number": "561-997-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICC HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "LUDWIG",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-997-0821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.