Individual provider Active NPI

Michael J Imber, MD PHD

  • Dermatopathology (Pathology) Physician
  • West Palm Beach, FL
National Provider Identifier
1881676864
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
ME57284 Issued in FL
Practice address
1500 N Dixie Hwy
Ste 308
West Palm Beach, FL 33401-2712
Phone
(561) 653-8005
Fax
(561) 653-8051
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME57284 FL
Dermatopathology (Pathology) Physician 207ZD0900X ME57284 FL Primary

Addresses

Primary practice location

1500 N Dixie Hwy
Ste 308
West Palm Beach, FL 33401-2712

Mailing address

1500 N Dixie Hwy
Ste 308
West Palm Beach, FL 33401-2712
Phone (561) 653-8005

Other identifiers 1

IdentifierTypeStateIssuer
057827400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Feb 5, 2013 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Feb 5, 2013 Accepting new patients
I MD Pathlab LLC Dermatopathology Past Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1881676864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N DIXIE HWY",
            "address_2": "STE 308",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012712",
            "telephone_number": "561-653-8005",
            "fax_number": "561-653-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N DIXIE HWY",
            "address_2": "STE 308",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012712",
            "telephone_number": "561-653-8005",
            "fax_number": "561-653-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBER",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME57284",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "FL",
            "license": "ME57284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057827400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.