NPIMap

Organization Active NPI

Sabine Medical Associates, Inc

Doing business as Husam Sukerek MD

  • Pediatric Gastroenterology Physician
  • Many, LA
National Provider Identifier
1184169773
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
13676R Issued in LA
Legal business name
SABINE MEDICAL ASSOCIATES, INC
Doing business as
Husam Sukerek MD
Practice address
210 Highland Dr
Many, LA 71449-3718
Phone
(318) 256-5722
Fax
(318) 256-5774
NPI assigned
Jan 5, 2017
Last updated
Jan 5, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SABINE MEDICAL ASSOCIATES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Husam H Sukerek, M.D.NPI 1699778597
Title
Owner
Phone
(318) 256-5722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0206X 13676R LA Primary

Addresses

Primary practice location

210 Highland Dr
Many, LA 71449-3718

Mailing address

210 Highland Dr
Many, LA 71449-3718
Phone (318) 256-5722

Other names 1

  • Husam Sukerek MD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sabine Medical Associates Inc3 organizations share this tax ID, including this one
Part of
Sabine Medical Associates Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

210 Highland Dr
Many, LA 71449
Phone (318) 256-5722

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1184169773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HIGHLAND DR",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714493718",
            "telephone_number": "318-256-5722",
            "fax_number": "318-256-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HIGHLAND DR",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714493718",
            "telephone_number": "318-256-5722",
            "fax_number": "318-256-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABINE MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SABINE MEDICAL ASSOCIATES, INC",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "SUKEREK",
        "authorized_official_first_name": "HUSAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-256-5722",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "LA",
            "license": "13676R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Husam Sukerek MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Many, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.