Active NPI
Ecsc IV LLC
- Anesthesiology Physician
- Plano, TX
National Provider Identifier
1891920559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- ECSC IV LLC
- Practice address
- 6124 W Parker Rd
#232
Plano, TX 75093-8122 - Phone
- (469) 467-0100
- NPI assigned
- May 26, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carl R Noback, MD
- Title
- Member
- Phone
- (941) 360-1566
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
6124 W Parker Rd
#232
Plano, TX 75093-8122
Mailing address
PO Box 864483
Orlando, FL 32886-4483
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243296000000",
"number": "1891920559",
"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": "6124 W PARKER RD",
"address_2": "#232",
"city": "PLANO",
"state": "TX",
"postal_code": "750938122",
"telephone_number": "469-467-0100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECSC IV LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-26",
"last_updated": "2009-05-26",
"status": "A",
"authorized_official_last_name": "NOBACK",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MEMBER",
"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": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.