Individual provider Active NPI

Nolberto Sanchez, M.D.

  • General Practice Physician
  • Marianna, FL
National Provider Identifier
1790970788
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME136720 Issued in FL
Practice address
2928 Daniels St
Marianna, FL 32446
Phone
(850) 526-3555
Fax
(850) 526-3570
NPI assigned
Sep 12, 2007
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN371 FL
General Practice Physician 208D00000X 018044 PR
Surgical Technologist 246ZS0410X 07-164 TX
General Practice Physician 208D00000X ME136720 FL Primary

Addresses

Primary practice location

2928 Daniels St
Marianna, FL 32446

Mailing address

2928 Daniels Street
Marianna, FL 32446
Phone (850) 526-3555

Other practice location 1

2101 Northside Dr Unit 502
Panama City, FL 32405-3687
Phone (850) 250-3220

Other identifiers 2

IdentifierTypeStateIssuer
N0574OtherFLMEDICARE PIN
004637000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121129000551 FL Practitioner - General Practice 8729027578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center CorpGroup PAC ID 6507267796, 2 clinicians

Practice addresses (Care Compare)

2928 Daniels St
Marianna, FL 32446-2912
Phone 8505263555101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME136720FLMDGeneral Practice Physician
018044PRMDGeneral Practice Physician
07-164TXMDSurgical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marianna Family Care Center, LLC Current Accepting new patients
Family Care Center Corp General Practice CurrentSince May 12, 2021 Accepting new patients

Locations

2928 Daniels St
Marianna, FL 32446
Phone (850) 394-4021

2101 Northside Dr
Unit 502
Panama City, FL 32405
Phone (850) 250-3220

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4253/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nolberto.sanchez@mfcc-fl.direct.office.nextgen.com

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1790970788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 DANIELS STREET",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "32446",
            "telephone_number": "850-526-3555",
            "fax_number": "850-526-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 DANIELS ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "32446",
            "telephone_number": "850-526-3555",
            "fax_number": "850-526-3570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Northside Dr Unit 502",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324053687",
            "country_code": "US",
            "telephone_number": "850-250-3220",
            "fax_number": "850-250-3658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "NOLBERTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN371",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "018044",
            "primary": false
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "07-164",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME136720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "N0574",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004637000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

Verify at the official NPI Registry.