Michael Ibach (NPI# 1053362723, PAC ID# 0345251328) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1053362723 |
| PAC ID by PECOS | 0345251328 |
| Professional Enrollment ID | I20110329000699 |
| Full Name | Michael Ibach |
| Organization Legal Name | BORLAND-GROOVER CLINIC PA |
| Address |
836 Prudential Dr Suite 801 Jacksonville FL 32207-8335 |
| Phone Number | 9042880433 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 6507761301 |
| Number of Group Practice Members | 76 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100117 | BAPTIST MEDICAL CENTER BEACHES |
| 100307 | ST VINCENT'S MEDICAL CENTER SOUTHSIDE |
| Address | Phone | Organization |
|---|---|---|
| 4800 Belfort Rd, Jacksonville, FL 32256-6004 | 9043987205 | BORLAND-GROOVER CLINIC PA |
| 836 Prudential Dr, Suite 801, Jacksonville, FL 32207-8335 | 9042880433 | BORLAND-GROOVER CLINIC PA |
| 1375 Roberts Dr, Suite 204, Jacksonville Beach, FL 32250-3209 | 9042470056 | BORLAND-GROOVER CLINIC PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | BORLAND-GROOVER CLINIC PA |
| Physicians | 83 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vrushak N Deshpande | Gastroenterology | Borland-groover Clinic Pa | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349 |
| Bharat K Misra | Gastroenterology | Borland-groover Clinic Pa | 3627 University S Blvd, Suite 705, Jacksonville, FL 32216-7403 |
| Daniel A Scharifker | Pathology | Borland-groover Clinic Pa | 5150 Linton Blvd, Suite 250, Delray Beach, FL 33484-6528 |
| Robert M Aportela | Pathology | Borland-groover Clinic Pa | 836 Prudential Dr, Suite 801, Jacksonville, FL 32207-8335 |
| Grant T Whittaker | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Nassim Youssef El Hajj | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Shenelle Davis Paulson | Nurse Practitioner | Borland-groover Clinic Pa | 3 Shircliff Way, Suite 400, Jacksonville, FL 32204-4780 |
| Jennifer F Marzoug | Nurse Practitioner | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Jeffrey S Hoffman | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| William F Foody | Gastroenterology | Borland-groover Clinic Pa | 100 Whetstone Pl, Suite 105, Saint Augustine, FL 32086-5775 |
| Street Address |
836 PRUDENTIAL DR SUITE 801 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32207-8335 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andre D.c.p. Macedo Dias | Cardiovascular Disease (cardiology) | Baptist Cardiology, Inc. | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8344 |
| John Byron | Psychologist, Clinical | Baptist Behavioral Health LLC | 836 Prudential Dr, Suite 1107, Jacksonville, FL 32207-8338 |
| Jenna D Effron | Physician Assistant | Baptist Cardiology, Inc. | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8344 |
| Bharat K Gummadi | Interventional Cardiology | Baptist Cardiology, Inc. | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8344 |
| George G Le-bert | Internal Medicine | Baptist Cardiology, Inc. | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8344 |
| Sean Joseph Kirby | Physician Assistant | North Florida Surgeons Pa | 836 Prudential Dr, Jacksonville, FL 32207-8337 |
| Robert M Aportela | Pathology | Borland-groover Clinic Pa | 836 Prudential Dr, Suite 801, Jacksonville, FL 32207-8335 |
| Salil Jitendra Patel | Cardiovascular Disease (cardiology) | Baptist Cardiology, Inc. | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8344 |
| Alexander T Rose | General Surgery | North Florida Surgeons Pa | 836 Prudential Dr, Suite 1001, Jacksonville, FL 32207-8337 |
| Kristin M Lewis | Nurse Practitioner | Baptist Cardiology, Inc. | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8344 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alethea B Brown | Nurse Practitioner | My Choice Housecalls LLC | 1611 Mayfair Rd, Suite 202, Jacksonville, FL 32207-2346 |
| Joseph C Holley | Nurse Practitioner | My Choice Housecalls LLC | 1611 Mayfair Rd, Suite 202, Jacksonville, FL 32207-2346 |
| Richard Alan De La Cruz | Emergency Medicine | My Choice Housecalls LLC | 1611 Mayfair Rd, Suite 202, Jacksonville, FL 32207-2346 |
| Nancy A Gilliom | Audiologist | Hear Better Centers LLC | 2051 Art Museum Dr, Jacksonville, FL 32207-2512 |
| Theresa B Scully | Physical Therapy | Therapyworks of Jacksonville Inc | 1819 Hendericks Ave, Suite 2and3, Jacksonville, FL 32207-3303 |
| Heloise L Murphy | Physical Therapy | Therapyworks of Jacksonville Inc | 1819 Hendericks Ave, Jacksonville, FL 32207-3303 |
| Francis X Palmieri | Clinical Social Worker | 1667 Atlantic Blvd, Jacksonville, FL 32207-3346 | |
| Joyce G Stoddart | Clinical Social Worker | 1667 Atlantic Blvd, Jacksonville, FL 32207-3346 | |
| Eduardo A Sanchez | Psychiatry | 1667 Atlantic Blvd, Jacksonville, FL 32207-3346 | |
| Elena Akra | Psychologist, Clinical | Akra Professional Services | 1551 Atlantic Blvd, Suite 101, Jacksonville, FL 32207-3369 |
| Find all physicians in zip 32207 | |||
| City | JACKSONVILLE |
| Zip Code | 32207 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | JACKSONVILLE + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Michael Ibach.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.