MD Massoud LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MD MASSOUD LLC

Practice address

321 Main St
Suite 3G
Johnstown, PA 15901-1632

Phone

(814) 535-7576

Fax

(814) 536-1369

NPI assigned

May 18, 2016

Organization subpart

No

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

Authorized official

Name

Samuel Massoud, M.D.

Title

Owner

Phone

(814) 475-8700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1164879359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 WYNDERMERE DRIVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15905",
            "telephone_number": "814-535-7576",
            "fax_number": "814-536-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "address_2": "SUITE 3G",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011632",
            "telephone_number": "814-535-7576",
            "fax_number": "814-536-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD MASSOUD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "MASSOUD",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-475-8700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McLeary Professional Counseling
• Brian W. McLeary, LPC
• Lawrence M McNiesh, MD
• Betty Ann McPherson, OTR/L
• Erin McQuiston
• Paul G. Meade, M.D.
• Amanda Sue Meagher
• Benjamen Wallace Mecham, DO
• Medexpress Urgent Care, PC - Pennsylvania
• Medical Group of Windber Inc

• Family Medicine Physician in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.