Ips of New Smyrna LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

IPS OF NEW SMYRNA LLC

Practice address

612 Palmetto St
New Smyrna Beach, FL 32168-7327

Phone

(386) 423-5500

NPI assigned

Jan 18, 2010

Organization subpart

No

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

Authorized official

Name

Carl R. Noback, MDNPI 1386620532

Title

Medical Director

Phone

(941) 360-1566

Specialties & licenses 2

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• New Smyrna Beach Ambulatory Care Center Inc

  • Ambulatory Surgical Clinic/Center
  • New Smyrna Beach, FL
  • NPI 1902853195

  Member Of

  NPD member

Practitioners 1

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

• Carl R Noback, MD

  • Anesthesiology Physician
  • Sarasota, FL
  • NPI 1386620532
  NPD (past) Authorized official

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1831420744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864483",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328864483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 PALMETTO ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687327",
            "telephone_number": "386-423-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPS OF NEW SMYRNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "status": "A",
        "authorized_official_last_name": "NOBACK",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "941-360-1566",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idc of Volusia, LLC
• James Jonathan Inda, OTR/L
• Infinite Weillness Inc
• Kassandra Ingram, DMD
• Kimberly Michelle Ingram, LMHC
• Reba K Isaac, M.D.
• Andreia Ivo
• Megan Nicole James, PMHNP-BC
• Holly Michelle Janda, CD(DONA)
• Amber Jarvis

• Anesthesiology Physician in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; 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.