Ghassan Hasan MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

94778 Issued in FL

Legal business name

GHASSAN HASAN MD PA

Practice address

601 N Flamingo Rd
Suite 416
Pembroke Pines, FL 33028-1015

Phone

(954) 392-8990

Fax

(954) 392-8909

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Ghassan A Hasan, MD

Title

President

Phone

(305) 803-8097

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1245404144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14510 SW 35TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273748",
            "telephone_number": "305-803-8097",
            "fax_number": "954-441-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD",
            "address_2": "SUITE 416",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281015",
            "telephone_number": "954-392-8990",
            "fax_number": "954-392-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHASSAN HASAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-803-8097",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "94778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276435100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi E Gernaga, ARNP
• Mina Gerstenfeld, PA-C
• Stephen Zisl Gervin, M.D.
• Valerie Gettys, APRN
• Bahjat F Ghanem, MD
• Marian Ghebrial
• Asmita Ghimire
• Ashley Gibson, RN
• Rebecca Lynn Gibson
• Grayson Gigliotti

• Family Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 Oct 17, 2008; 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.