Organization Active NPI

Fadi Abbass MD

  • Otolaryngology Physician
  • Ravenna, OH
National Provider Identifier
1205319423
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
FADI ABBASS MD
Practice address
6693 N Chestnut St Ste 215
Ravenna, OH 44266-3900
Phone
(330) 297-9080
Fax
(330) 297-9077
NPI assigned
Sep 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Authorized official

Name
Fadi Abbass, MDNPI 1639283914
Title
MD
Phone
(330) 297-9080

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
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

6693 N Chestnut St Ste 215
Ravenna, OH 44266-3900

Mailing address

6693 N Chestnut St Ste 215
Ravenna, OH 44266-3900
Phone (330) 297-9080

National Provider Directory

National Provider Directory

Locations

6693 N Chestnut St
Ste 215
Ravenna, OH 44266
Phone (330) 297-9080

Practitioners & affiliated clinicians

Practitioners 1

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": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1205319423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6693 N CHESTNUT ST STE 215",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663900",
            "telephone_number": "330-297-9080",
            "fax_number": "330-297-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6693 N CHESTNUT ST STE 215",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663900",
            "telephone_number": "330-297-9080",
            "fax_number": "330-297-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FADI ABBASS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "ABBASS",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "330-297-9080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.