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DR. ITZHAK NIR M.D. NPI 1124015482


NPI Information

NPI: 1124015482
Provider Name: DR. ITZHAK NIR, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

CLIA Number: 10D2039878

Address:
13005 SOUTHERN BLVD
SUITE 232
LOXAHATCHEE, FL
ZIP 33470
Phone: (561) 753-3331
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DR. Itzhak Nir, M.D. is a plastic and reconstructive surgery surgery in Loxahatchee, FL with 30 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Itzhak Nir, M.D. NPI is 1124015482. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

13005 SOUTHERN BLVD
SUITE 232
LOXAHATCHEE, FL
ZIP 33470-206
Phone: (561) 753-3331
Fax: (561) 753-3823

The NPI 1124015482 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 10D2039878 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2005 and was last updated on 2/6/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive SurgeryME70544FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1256013500MEDICAIDFLORIDA
2E2405MEDICARE PINFLORIDA
3G90966MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.