Organization Active NPI

Elmir Sehic, M.D. P.C

  • Internal Medicine Physician
  • Yarmouth Port, MA
National Provider Identifier
1225210305
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
209522 Issued in MA
Legal business name
ELMIR SEHIC, M.D. P.C
Practice address
923 Main St Unit 5
Yarmouth Port, MA 02675-2159
Phone
(508) 375-9895
Fax
(508) 375-9896
NPI assigned
Nov 30, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Elmir Sehic, M.D.NPI 1972650455
Title
M.D.
Phone
(508) 375-9895

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
Internal Medicine Physician 207R00000X 209522 MA Primary

Addresses

Primary practice location

923 Main St Unit 5
Yarmouth Port, MA 02675-2159

Mailing address

923 Main St Unit 5
Yarmouth Port, MA 02675-2159
Phone (508) 375-9895

Other identifiers 1

IdentifierTypeStateIssuer
M18134OtherMABLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120918000187 MA Part B Supplier - Clinic/Group Practice 2961650999 Receives reassigned benefits from 1 practitioner
Practice locations: Dennis, MA

National Provider Directory

National Provider Directory
Tax ID family
Elmir Sehic MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

501 Main St
Dennis, MA 02638
Phone (508) 385-4800

923 Main St
Unit 5
Yarmouth Port, MA 02675
Phone (508) 375-9895

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": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1225210305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 MAIN ST UNIT 5",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752159",
            "telephone_number": "508-375-9895",
            "fax_number": "508-375-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 MAIN ST UNIT 5",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752159",
            "telephone_number": "508-375-9895",
            "fax_number": "508-375-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMIR SEHIC, M.D. P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "SEHIC",
        "authorized_official_first_name": "ELMIR",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "508-375-9895",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "209522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M18134",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth Port, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.