Imad E Tarabishy MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME0044203 Issued in FL

Legal business name

IMAD E TARABISHY MD PA

Practice address

11339 Cortez Blvd
Brooksville, FL 34613-5404

Phone

(352) 596-8558

Fax

(352) 596-3494

NPI assigned

Mar 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Imad E Tarabishy, MDNPI 1306959903

Title

President

Phone

(352) 596-8558

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Imad Eddeen Tarabishy, MD

  • Orthopaedic Surgery Physician
  • Brooksville, FL
  • NPI 1306959903
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1235370735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11339 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135404",
            "telephone_number": "352-596-8558",
            "fax_number": "352-596-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11339 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135404",
            "telephone_number": "352-596-8558",
            "fax_number": "352-596-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAD E TARABISHY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "TARABISHY",
        "authorized_official_first_name": "IMAD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-596-8558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0044203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Ibrahim, MD
• Idicula Medical Associates MD PA
• Kisha Iglesias, PTA
• Ebenezer I Ikhile, M.D.
• Richard Ilagan, PTA
• Imperial Mental Health Counseling, LLC
• Indian River Emergency Group, LLC
• Brian J Ingleright, D.O.
• Innovative Imaging Associates, PLLC
• Institute of Interventional Pain Management PA

• Orthopaedic Surgery Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.