IPS OF PALM COAST LLC (NPI# 1962644914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962644914 |
| Entity Type | Organization |
| Organization Name | IPS OF PALM COAST LLC |
| Practice Address |
21 Hospital Dr Ste 220 Palm Coast FL 32164-2452 |
| Mailing Address |
Po Box 864483 Orlando FL 32886-4483 |
| Practice Telephone | 3862636020 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |
| Authorized Official Name | CARL R. NOBACK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9413601566 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
21 HOSPITAL DR STE 220 |
| City | PALM COAST |
| State | FL |
| Zip Code | 32164-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558802959 | Christina Ratliff | Nurse Practitioner | 21 Hospital Dr, Suite 140, Palm Coast, FL 32164-2452 | 2017-03-17 |
| 1528416096 | Advanced Urology Institute LLC | Non-Pharmacy Dispensing Site | 21 Hospital Dr, Ste 140, Palm Coast, FL 32164-2452 | 2016-05-25 |
| 1770967077 | Metcare of Palm Coast | Family Medicine | 21 Hospital Dr, Suite 125, Palm Coast, FL 32164-2452 | 2015-07-16 |
| 1891181194 | Chamion N. Olivier Md Pa | Internal Medicine | 21 Hospital Dr, Suite 290, Palm Coast, FL 32164-2452 | 2015-04-13 |
| 1033500624 | Coastal Family Healthcare LLC | Family Medicine | 21 Hospital Dr, Suite 280, Palm Coast, FL 32164-2452 | 2015-02-18 |
| 1578854477 | Florida Woman Care, LLC | Obstetrics & Gynecology | 21 Hospital Dr, Suite 270, Palm Coast, FL 32164-2452 | 2011-04-26 |
| 1326359274 | Caroline M Sargeant | Nurse Practitioner | 21 Hospital Dr, Suite 270, Palm Coast, FL 32164-2452 | 2010-06-25 |
| 1396987350 | Spinecare of Palm Coast LLC | Pain Medicine | 21 Hospital Dr, Ste 220, Palm Coast, FL 32164-2452 | 2009-04-06 |
| 1598907552 | Mua Center of Palm Coast LLC | Clinic/Center | 21 Hospital Dr, Ste 220, Palm Coast, FL 32164-2452 | 2009-04-06 |
| 1578705331 | Rathi Lakshmi Joseph | Physical Medicine & Rehabilitation | 21 Hospital Dr, Suite 120, Palm Coast, FL 32164-2452 | 2009-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561044 | Ereka Manangan | Pharmacist | 5000 E, Fl-100, Palm Coast, FL 32164 | 2020-09-01 |
| 1427661735 | George Allen Parker | Pharmacist | 5000 E Hwy 100, Palm Coast, FL 32164 | 2020-08-26 |
| 1891318424 | Faithangel Corp | In Home Supportive Care | 125 Pine Grove Dr, Palm Coast, FL 32164 | 2020-05-18 |
| 1578101481 | Sweetie Peetie LLC | Hearing Instrument Specialist | 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 | 2019-12-11 |
| 1831656610 | Dolphin Medical Transport LLC | Taxi | 30 Westmoreland Dr, Palm Coast, FL 32164 | 2019-02-27 |
| 1003389024 | Southeast Snoring & Sleep Apnea Group | Durable Medical Equipment & Medical Supplies | 108 Pennacles Dr. #101, Palm Coast, FL 32164 | 2019-01-03 |
| 1801388137 | Lily Michelle King | Licensed Practical Nurse | 8 Regent Ln, Palm Coast, FL 32164 | 2018-06-01 |
| 1558880120 | Bryan Mendes | Physical Therapist | 1 Westrock Ln, Palm Coast, FL 32164 | 2017-09-14 |
| 1477077451 | Sharon Denise Astrologo | Case Manager/Care Coordinator | 421 S. Keech St., Daytona Beach, FL 32164 | 2017-08-01 |
| 1952825283 | Emily Guarino | Behavior Technician | 136a Wellwood Lane, Palm Coast, FL 32164 | 2017-07-28 |
| Find all providers in zip 32164 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831333954 | Dawn Selim | Anesthesiology | 338 Wellington Dr, Palm Coast, FL 32164 | 2009-04-21 |
| 1568689644 | Michael Jude Guillory-smith | Anesthesiology | 138 Palm Coast Pkwy Ne Ste 271, Palm Coast, FL 32137-8241 | 2007-04-19 |
| 1518905603 | Mauricio Simon Kaufman | Anesthesiology | 60 Memorial Medical Parkway, Palm Coast, FL 32164 | 2006-06-02 |
| 1275506818 | Shariq Latif | Anesthesiology | 3 Boulder Rock Dr, Palm Coast, FL 32137-8555 | 2006-02-13 |
| 1922257039 | Mark Guirguis | Anesthesiology | 60 Memorial Medical Parkway, Palm Coast, FL 32164 | 2008-09-12 |
| 1366630493 | Daylie D Lopez | Anesthesiology | 60 Memorial Medical Parkway, Palm Coast, FL 32164 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908071 | Andrew D Weiss | Anesthesiology | 971 Quaye Lake Cir Apt 108, Wellington, FL 33411-5067 | 2020-10-01 |
| 1073129318 | Bianca M Colon | Anesthesiology | 1471 Nw 94th Ave # 240, Pembroke Pines, FL 33024-4510 | 2020-09-22 |
| 1548873599 | Sleepy Head Anesthesiology LLC | Anesthesiology | 3383 Barbour Trl, Odessa, FL 33556-3788 | 2020-08-28 |
| 1831702992 | Nenita Llorca Castro | Anesthesiology | 1091 Port Malabar Blvd Ne Ste 1, Palm Bay, FL 32905-5100 | 2020-08-28 |
| 1578171823 | Nawreen Jahan | Anesthesiology | 10808 Sassafras St, Tampa, FL 33617-3541 | 2020-07-22 |
| 1225658867 | Einbar Hazan | Anesthesiology | 7700 Sunrise Blvd, Plantation, FL 33322 | 2020-04-23 |
| 1831726793 | Jorge Victor Moreno | Anesthesiology | 1507 Nw 107th Ter, Gainesville, FL 32606-5491 | 2020-03-23 |
| 1558908921 | All Florida Anesthesia, LLC | Anesthesiology | 6345 54th Ave N Ste B, St Petersburg, FL 33709-1703 | 2019-12-04 |
| 1386280188 | Yenisley Aguiar | Anesthesiology | 2500 Sw 107th Ave Ste 40, Miami, FL 33165-2492 | 2019-11-27 |
| 1487203451 | Brittany Clark | Anesthesiology | 220 Riverside Ave Unit 328, Jacksonville, FL 32202-4953 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
| City | PALM COAST |
| Zip Code | 32164 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.