Sam N Ghoubrial, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35-067926 Issued in OH

Practice address

195 Wadsworth Rd
Suite 402
Wadsworth, OH 44281

Phone

(330) 331-7207

Fax

(330) 331-7587

NPI assigned

Dec 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Gltcp Health Care Services Inc

  • Nurse Practitioner
  • Wadsworth, OH
  • NPI 1881136596
  NPD Authorized official
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Philip N Gilcrest MD Inc

  • Family Medicine Physician
  • Doylestown, OH
  • NPI 1316126600

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1003892217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 WADSWORTH RD",
            "address_2": "SUITE 402",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "44281",
            "telephone_number": "330-331-7207",
            "fax_number": "330-331-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 WADSWORTH RD",
            "address_2": "SUITE 402",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "44281",
            "telephone_number": "330-331-7207",
            "fax_number": "330-331-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOUBRIAL",
        "first_name": "SAM",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-067926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140056",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Charles Gale, RPH.
• Dawn Marie Gardner, CNP
• Angela R Gasser, DDS
• Spencer Jeffrey Gasser, DO
• Daniel Walter Gembus, M.D.
• Gina Ann Gigandet
• Krisi H Gindlesperger, PA-C
• Ruth Glas
• Gltcp Health Care Services Inc
• Aurora Gonzaga, M.D.

• Internal Medicine Physician in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.