Anthony Alan Abouhanna, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

059291 Issued in FL

Practice address

2814 14TH Ave SE
Ruskin Health Center
Ruskin, FL 33570

Phone

(813) 349-7800

Fax

(813) 349-7861

NPI assigned

Jul 14, 2006

Last updated

May 1, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Suncoast Community Health Centers Inc

  dba Ruskin Health Center

  • Federally Qualified Health Center (FQHC)
  • Ruskin, FL
  • NPI 1285644799
  NPD

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1245256361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13110 ELK MOUNTAIN DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797182",
            "telephone_number": "813-349-7568",
            "fax_number": "813-349-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 14TH AVE SE",
            "address_2": "RUSKIN HEALTH CENTER",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "33570",
            "telephone_number": "813-349-7800",
            "fax_number": "813-349-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUHANNA",
        "first_name": "ANTHONY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "059291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272650500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 41Lifechangers LLC
• A & J Mobility Inc
• A Faithful Heart, LLC
• A Fountain of Youth Home Care LLC
• Marcia A.Willie, RN
• Abundant Harvest Health and Healing, LLC
• Yadiel Acevedo
• Mary Ackerman, RN
• Acupuncture & Wellness Clinic of Ruskin, Inc
• Advanced Surgical Mobile Eye Care LLC

• Family Medicine Physician in Ruskin, FL
• Providers in Ruskin, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.