Active NPI
Fouad J Samaha, M.D.
- Plastic Surgery Physician
- Quincy, MA
National Provider Identifier
1043212541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 78298
- Practice address
- 2300 Crown Colony Dr
Suite 101
Quincy, MA 02169-0902 - Phone
- (617) 786-7600
- Fax
- (617) 786-7616
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 78298 | MA | Primary |
Addresses
Primary practice location
2300 Crown Colony Dr
Suite 101
Quincy, MA 02169-0902
Mailing address
PO Box 86
Hingham, MA 02043-0086
Phone (781) 749-9071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3113175 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Plastic Surgery | Past | Accepting new patients | |
| South Shore Plastic Surgery | Plastic Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Plastic Surgery Physician
- Quincy, MA
- NPI 1093701708
-
- Ambulatory Surgical Clinic/Center
- Quincy, MA
- NPI 1770719676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238371200000",
"number": "1043212541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020430086",
"telephone_number": "781-749-9071",
"fax_number": "781-749-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 CROWN COLONY DR",
"address_2": "SUITE 101",
"city": "QUINCY",
"state": "MA",
"postal_code": "021690902",
"telephone_number": "617-786-7600",
"fax_number": "617-786-7616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMAHA",
"first_name": "FOUAD",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2009-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MA",
"license": "78298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3113175",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.