Organization Active NPI

Ehab Sargious M.D. Inc

  • Specialist
  • Warren, OH
National Provider Identifier
1164516373
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
EHAB SARGIOUS M.D. INC
Practice address
2000 E Market St
Warren, OH 44483-6156
Phone
(330) 393-5566
Fax
(330) 393-3680
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ehab L Sargious, MDNPI 1619968427
Title
Psychiatrist
Phone
(330) 393-5566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2000 E Market St
Warren, OH 44483-6156

Mailing address

2000 E Market St
Warren, OH 44483-6156
Phone (330) 393-5566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061117000176 OH Part B Supplier - Clinic/Group Practice 1254339781 Receives reassigned benefits from 2 practitioners
Practice locations: Warren, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164516373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836156",
            "telephone_number": "330-393-5566",
            "fax_number": "330-393-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836156",
            "telephone_number": "330-393-5566",
            "fax_number": "330-393-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHAB SARGIOUS M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SARGIOUS",
        "authorized_official_first_name": "EHAB",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "330-393-5566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.