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Deactivated NPI 1659762359 Deactivated / Inactive NPI Male Practitioner

Dr. Melchisedec C Ibanez , MD

Surgery • Kane, PA

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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. Melchisedec Ibanez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 17, 2015
NPI Deactivation Date December 04, 2017
Total Practice Duration ~2 Years of Practice (2015 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Melchisedec Ibanez, MD was a registered Surgery practicing in Kane, PA. Throughout an active medical career spanning 2 years, Dr. Ibanez provided care at the practice location at 35 HEMLOCK AVE until profile deactivation on 2017-12-04.

Practice Location & Contact Primary Location

Practice Address

35 Hemlock Ave

Kane, PA 167351612

Telephone 8148378012

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Kane, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Kane, PA (1976 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD028486L

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 04, 2017

Record deactivated on December 04, 2017

NPI Profile Active February 17, 2015

NPI status registered as active in NPPES database

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Updated Practice Location February 17, 2015

Registered at 35 HEMLOCK AVE, KANE, PA 167351612 (Tel: 8148378012)

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Updated Business Mailing Address February 17, 2015

Registered at 100 SPRUCE AVE, KANE, PA 167351637 (Tel: 8148378012)

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Provider Name / Credentials Updated February 17, 2015

Recorded as MELCHISEDEC IBANEZ, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2015

Surgery (License #MD028486L in PA)

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Initial NPI Registration & Enumeration February 17, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659762359
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2015
Last Update: February 17, 2015
Deactivation Date: December 04, 2017

Mailing Address

100 Spruce Ave

Kane, PA 167351637

Phone: 8148378012

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.