George Mousa Mufarreh, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

21630 Breechcrest St.
Dearborn Heights, MI 48127

Phone

(734) 516-5555

Fax

(888) 436-0221

NPI assigned

Oct 8, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1174098982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21630 BREECHCREST ST.",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48127",
            "telephone_number": "734-516-5555",
            "fax_number": "888-436-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21630 BREECHCREST ST.",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48127",
            "telephone_number": "734-516-5555",
            "fax_number": "888-436-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUFARREH",
        "first_name": "GEORGE",
        "middle_name": "MOUSA",
        "name_prefix": "Prof.",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loubna Mouhydeen, PHARM D
• Nathalie Mourad
• Samantha Moustafa
• Ali Mouzaihem
• Thota Mudali, RPT
• Ahlam Muhiden
• Ibrahim Muhyee, LMT
• Martha Ligia Munoz-Drummond, D.D.S.
• Haalah Musa
• Farah Muslim

• Surgical Assistant in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Surgical Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.