George S Sidhom, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME0066412 Issued in FL

Practice address

5193 Mariner Blvd
Spring Hill, FL 34609-1834

Phone

(352) 688-6393

Fax

(352) 688-1113

NPI assigned

Jul 11, 2005

Last updated

Sep 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

AnesthesiologyAlso: Pain Management

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gsidhom296302@direct.tgh.org
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• George Sidhom MD PA

  dba Brandon Pain Clinic

  • Specialist
  • Brandon, FL
  • NPI 1336336130
  Medicare reassignment NPD
• Outpatient Surgery Center Inc

  dba Brandon Outpatient Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Brandon, FL
  • NPI 1619049269
  NPD Authorized official
• Outpatient Surgery Center, Inc

  dba Mariner Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Spring Hill, FL
  • NPI 1902838402
  Authorized official Same address or phone
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Sunshine State Anesthesia Associates,P.L.

  • Specialist
  • Brandon, FL
  • NPI 1396984688
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Florida, Inc.

  dba HCA Florida Oak Hill Hospital

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1013961838
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1003814435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10478",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346030478",
            "telephone_number": "352-688-6393",
            "fax_number": "352-688-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5193 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091834",
            "telephone_number": "352-688-6393",
            "fax_number": "352-688-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHOM",
        "first_name": "GEORGE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME0066412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Abdurrahman Shuayb, DMD
• Omar Shuayb
• Sarah Shuayb, D.M.D
• Erin Kathleen Shutt
• SHW Group LLC
• Simrita Sidhu, MD
• Nora Siegel, ARNP
• Laura Sillman
• Joseph Anthony Silvasy III
• Jasmine Simmons

• Interventional Pain Medicine Physician in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.