Essam Attia, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0038314 Issued in FL

Legal business name

ESSAM ATTIA, M.D., P.A.

Practice address

210 Jupiter Lakes Blvd Ste 3201
Jupiter, FL 33458-7189

Phone

(561) 747-7330

Fax

(561) 747-3538

NPI assigned

Apr 19, 2011

Organization subpart

No

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

Authorized official

Name

Essam Attia, M.D.NPI 1295881365

Title

Owner/Physician

Phone

(561) 747-7330

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Essam Attia, M.D.

  • Gastroenterology Physician
  • Jupiter, FL
  • NPI 1295881365
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1063702470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD STE 3201",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587189",
            "telephone_number": "561-747-7330",
            "fax_number": "561-747-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD STE 3201",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587189",
            "telephone_number": "561-747-7330",
            "fax_number": "561-747-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSAM ATTIA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "ATTIA",
        "authorized_official_first_name": "ESSAM",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "561-747-7330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0038314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066958000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.