Ips of Palm Coast LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

IPS OF PALM COAST LLC

Practice address

21 Hospital Dr
Ste 220
Palm Coast, FL 32164-2452

Phone

(386) 263-6020

NPI assigned

Apr 6, 2009

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

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": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1962644914",
    "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": "21 HOSPITAL DR",
            "address_2": "STE 220",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642452",
            "telephone_number": "386-263-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPS OF PALM COAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "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": []
}

• Integrative Acupuncture & Health Coaching LLC
• Intercoastal Neurology and Sleep Care Center PLLC
• Dale Intihar, M.D.
• Inverness Terra Senior Living of Palm Coast LLC
• Angelo Peter Ippolito, D.C.
• Muhammad Fahair Iqbal, MD
• Michael Alan Isicoff, MD
• Sofond IV
• Christine M Ivankiv, MS CCC-SLP
• J & B Medical Transport LLC

• Anesthesiology Physician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.