Sam F Wanis DO PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

OS7511 Issued in FL

Legal business name

SAM F WANIS DO PA

Practice address

2925 10TH Ave N
Suite #204
Lake Worth, FL 33460-3046

Phone

(561) 969-3500

Fax

(561) 966-8898

NPI assigned

Dec 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sameh Fayez Wanis, D.O.NPI 1720005614

Title

Physician

Phone

(561) 969-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Sameh Fayez Wanis, D.O.

  • Obstetrics & Gynecology Physician
  • Lake Worth, FL
  • NPI 1720005614
  NPD (past) Authorized official

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1235375122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 10TH AVE N",
            "address_2": "SUITE #204",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334603046",
            "telephone_number": "561-969-3500",
            "fax_number": "561-966-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 10TH AVE N",
            "address_2": "SUITE #204",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334603046",
            "telephone_number": "561-969-3500",
            "fax_number": "561-966-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM F WANIS DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-23",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "WANIS",
        "authorized_official_first_name": "SAMEH",
        "authorized_official_middle_name": "FAYEZ",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "561-969-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS7511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253706100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Salsberg, LCSW, CAP
• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC
• Salus Medicina Group LLC
• Salvatore Larusso D C P a II
• Claudia Irma Salza Olivera, SA-C
• Sam Tover DMD PLLC
• Mayelin San Ramos
• Guianeya Sanchez Diaz, APRN
• Idalia Sanchez Garcia
• Alexander Sanchez, BCBA

• Obstetrics & Gynecology Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.