Dr. Ivan Arnold Backerman , MD
Obstetrics & Gynecology • Carrabelle, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ivan Backerman has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Ivan Backerman, MD was a registered Obstetrics & Gynecology practicing in Carrabelle, FL. Throughout an active medical career spanning 17 years, Dr. Backerman provided care at the practice location at 556 GULF SHORE DRIVE until profile deactivation on 2024-01-17.
Practice Location & Contact Primary Location
556 Gulf Shore Drive
Hc 63 Box 5006 Dog Island
Carrabelle, FL 323229719
Specialty Benchmarks & Practice Insights
Comparative analytics for Obstetrics & Gynecology in Carrabelle, FL
Practicing in Carrabelle, FL (2713 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 207V00000X
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 17, 2024
Obstetrics & Gynecology (License #LL420 in FL)
NPI status registered as active in NPPES database
Registered at 556 GULF SHORE DRIVE, HC 63 BOX 5006 DOG ISLAND, CARRABELLE, FL 323229719 (Tel: 8506974702)
Registered at HC63 BOX 5006 DOG ISLAND, 556 GULF SHORE DRIVE, CARRABELLE, FL 323229719 (Tel: 8506974702)
Recorded as IVAN BACKERMAN, MD
Obstetrics & Gynecology (License #ME104820 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Hc63 Box 5006 Dog Island, 556 Gulf Shore Drive
Carrabelle, FL 323229719
Phone: 8506974702
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