DR. MICHAEL B IBACH (NPI# 1053362723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053362723 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL B IBACH |
| Credential | M.D. |
| Practice Address |
1375 Roberts Dr Ste 204 Jacksonville Beach FL 32250-3210 |
| Mailing Address |
4800 Belfort Rd Jacksonville FL 32256-6004 |
| Practice Telephone | 9042470056 |
| Practice Fax Number | 9042410065 |
| Mailing Telephone | 9043983262 |
| Mailing Fax Number | 9042654807 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2011-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME67895 | FL | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
26687 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003230300 | 05 | |
| FL | BCBS | 14AW4 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942366620 | Michael John Ibach | Chiropractor | 5 Severance Cir Ste 702, Cleveland Heights, OH 44118-1590 | 2006-12-28 |
| 1952594137 | Michael Kenneth Ibach | Physical Therapist | 225 N 7th St, Bismarck, ND 58501 | 2007-08-22 |
| Street Address |
1375 ROBERTS DR STE 204 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245768 | Thomas G Gaddis | Internal Medicine | 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250-3210 | 2005-06-14 |
| 1659506319 | Ilicia Lauren Shugarman | Internal Medicine | 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250-3210 | 2009-05-26 |
| 1396949954 | Joe E Gerges El Khoury | Internal Medicine | 1375 Roberts Dr, Suite 204, Jacksonville Beach, FL 32250-3210 | 2007-06-14 |
| 1093722647 | Shirley Lynn Fabrizio | Nurse Practitioner | 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250-3210 | 2006-08-02 |
| 1760417042 | Integrated Community Oncology Network LLC | Radiology | 1375 Roberts Dr, Suite 100, Jacksonville Beach, FL 32250-3210 | 2006-07-12 |
| 1780641464 | Walter Phelps Scott | Specialist | 1375 Roberts Dr, Suite 100, Jacksonville Beach, FL 32250-3210 | 2006-04-27 |
| 1881684454 | John Theodore Woeste Jr. | Anesthesiology | 1375 Roberts Dr, Suite 205, Jacksonville Beach, FL 32250-3210 | 2005-10-25 |
| 1073501805 | Michelle M Krawczyk | Nurse Practitioner | 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250-3210 | 2005-10-06 |
| 1467449785 | Integrated Community Oncology Network LLC | Internal Medicine | 1375 Roberts Dr, Ste 103, Jacksonville Beach, FL 32250-3210 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396949954 | Joe E Gerges El Khoury | Internal Medicine | 1375 Roberts Dr, Suite 204, Jacksonville Beach, FL 32250-3210 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321382 | Charlotte Harbor Gastroenterology LLC | Internal Medicine | 2811 Tamiami Trl Ste I, Port Charlotte, FL 33952-5135 | 2020-09-22 |
| 1750907614 | Michael G. Valladares D.o. P.a. | Internal Medicine | 10302 Sw 116th St, Miami, FL 33176-4049 | 2020-06-17 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1750922399 | Gastroenterology Care Specialists, LLC | Internal Medicine | 550 Redstone Ave W Ste 430, Crestview, FL 32536-6457 | 2019-10-04 |
| 1194375378 | Digestive and Liver Disease Institute of Florida, LLC | Internal Medicine | 505 W Oak St Ste 202, Kissimmee, FL 34741-4986 | 2019-09-18 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1225507601 | Linmec Corp | Internal Medicine | 4531 Deleon St Ste 215, Fort Myers, FL 33907-1279 | 2018-11-15 |
| 1912474156 | Eileen E Kim | Internal Medicine | 5117 Fiorella Ln, Sanford, FL 32771-5449 | 2018-10-25 |
| 1790251197 | Gabriel Benitez | Internal Medicine | 2330 Wilton Dr, Wilton Manors, FL 33305-1249 | 2018-10-23 |
| 1043786833 | Union Medical Group | Internal Medicine | 6300 Corporate Ct Ste 105, Fort Myers, FL 33919-3513 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
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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.