EDGAR IBANEZ MD, PA (NPI# 1134421589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134421589 |
| Entity Type | Organization |
| Organization Name | EDGAR IBANEZ MD, PA |
| Practice Address |
2609 W Woolbright Rd Ste 4c Boynton Beach FL 33436-6634 |
| Practice Telephone | 5617381770 |
| Practice Fax Number | 5617389992 |
| Mailing Telephone | 5617381770 |
| Mailing Fax Number | 5617389992 |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |
| Authorized Official Name | EDGAR IBANEZ (PRESIDENT) |
| Authorized Official Telephone | 5617381770 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME35446 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2609 W WOOLBRIGHT RD STE 4C |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33436-6634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376509711 | Boynton Sport and Back Physical Therapy | Physical Therapist | 2609 W Woolbright Rd, Suite 4a, Boynton Beach, FL 33436-6634 | 2006-04-25 |
| 1588910228 | Boynton Physicians Group LLC | Internal Medicine | 2609 W Woolbright Rd, Suite 5, Boynton Beach, FL 33436-6634 | 2012-07-31 |
| 1417135997 | Nelson Lopez Md Pa | Family Medicine | 2609 W Woolbright Rd, Suite 5, Boynton Beach, FL 33436-6634 | 2008-02-06 |
| 1073667689 | Gregory Scott Weatherford | Family Medicine | 2609 W Woolbright Rd, Suite 1, Boynton Beach, FL 33436-6634 | 2007-01-22 |
| 1174604219 | Jonathan Shochat | Orthotist | 2609 W Woolbright Rd, Suite 3a, Boynton Beach, FL 33436-6634 | 2006-10-17 |
| 1164522090 | Franz Hugo Nelson Lopez Padilla | Family Medicine | 2609 W Woolbright Rd, Suite 5, Boynton Beach, FL 33436-6634 | 2006-09-22 |
| 1902825730 | Edgar Ibanez | Specialist | 2609 W Woolbright Rd, Ste 4 C, Boynton Beach, FL 33436-6634 | 2006-07-19 |
| 1003873407 | James Franco | Physical Therapist | 2609 W Woolbright Rd, Suite 4a, Boynton Beach, FL 33436-6634 | 2006-04-28 |
| 1003873514 | Abby Franco | Physical Therapist | 2609 W Woolbright Rd, Suite 4a, Boynton Beach, FL 33436-6634 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130498 | Maureen Ann Stewart | Technician | 189 Citrus Trail Circle, Boynton Beach, FL 33436 | 2020-07-01 |
| 1124650692 | Marie Guerlande Cius | Nurse Practitioner | Jfk Medical Center, Atlantis, FL 33436 | 2020-02-12 |
| 1336785609 | Dorri's Dental P.a. | Dentist | 12658 S. Military Trail, Suite #104, Boynton Beach, FL 33436 | 2019-11-21 |
| 1356986335 | Valerie Delbrun | Nurse Practitioner | 1046 Arezzo Circle Boyton Beach Fl 33436, Boyton Beach, FL 33436 | 2019-11-13 |
| 1376037374 | Shannon M Mitchell | Clinic/Center | 3900 Max Place, Unit 101, Boynton Beach, FL 33436 | 2018-06-22 |
| 1780198978 | Procare Dentistry | Dentist | 3509 W. Boynton Beach Blvd, Boynton Beach, FL 33436 | 2017-11-27 |
| 1144733163 | Gerardo Alberto Casteleiro | Counselor | 58 Misty Meadow Drive, Boynton Beach, FL 33436 | 2017-11-13 |
| 1346767183 | Marcken Volmy | Counselor | 79 Baytree Circle, Boynton Bea H, FL 33436 | 2017-08-23 |
| 1821512476 | Local Recovery, LLC | Counselor | 200 Knuth Road, Suite 228, Boynton Beach, FL 33436 | 2017-07-26 |
| 1164944534 | Stephanie Joseph | Nurse Practitioner | 3658 Stratton Lane, Boynton Beach, FL 33436 | 2017-07-07 |
| Find all providers in zip 33436 | ||||
| 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 |
|---|---|---|---|---|
| 1396132486 | Jerome Weiss | Internal Medicine | 10330 Copper Lake Dr, Boynton Beach, FL 33437-5507 | 2015-04-16 |
| 1740609916 | Henry Friedman | Internal Medicine | 8574 Logia Cir, Boynton Beach, FL 33472-7111 | 2014-04-15 |
| 1962441329 | Bradley A Towbin | Internal Medicine | 7270 W Boynton Beach Blvd, Boynton Beach, FL 33437-3802 | 2006-06-04 |
| 1881679314 | David Craig Hellman | Internal Medicine | 10151 Enterprise Ctr, Ste 103, Boynton Beach, FL 33437-3759 | 2005-12-07 |
| 1215353289 | Bgst Gi, LLC | Internal Medicine | 1325 S Congress Ave, Suite 211, Boynton Beach, FL 33426-5876 | 2014-03-13 |
| 1336564327 | Bbdl Gastro LLC | Internal Medicine | 10151 Enterprise Center Blvd, Suite 106, Boynton Beach, FL 33437-3759 | 2014-02-27 |
| 1255613881 | Ibis Medical Corporation | Internal Medicine | 10151 Enterprise Ctr, Suite 106, Boynton Beach, FL 33437-3759 | 2011-09-09 |
| 1841502861 | Gi Docs S Florida | Internal Medicine | 1325 S Congress Ave, Suite 211, Boynton Beach, FL 33426-5876 | 2010-07-07 |
| 1033373493 | Sohail N Shaikh | Internal Medicine | 2800 S Seacrest Blvd Ste 240, Boynton Beach, FL 33435-7946 | 2008-07-15 |
| 1154517886 | David Craig Hellman Do Pa | Internal Medicine | 10151 Enterprise Ctr, Suite 103, Boynton Beach, FL 33437-3759 | 2007-09-17 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33436 |
Please comment or provide details below to improve the information on EDGAR IBANEZ MD, PA.
| 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.