Individual provider Active NPI

Magda Fawzy Salib, M.D

  • Pediatrics Physician
  • Palm Harbor, FL
National Provider Identifier
1295922797
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME114184 Issued in FL
Practice address
2626 Tampa Rd
Ste 101
Palm Harbor, FL 34684-3155
Phone
(727) 754-1984
Fax
(727) 754-2868
NPI assigned
Sep 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME114184 FL Primary

Addresses

Primary practice location

2626 Tampa Rd
Ste 101
Palm Harbor, FL 34684-3155

Mailing address

2626 Tampa Rd
Ste 101
Palm Harbor, FL 34684-3155
Phone (727) 754-1984

Other names 1

  • Magda Fawzy Makram/Salib Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME114184FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Bank Emergency Physicians LLC PastSince Sep 24, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1295922797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 TAMPA RD",
            "address_2": "STE 101",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843155",
            "telephone_number": "727-754-1984",
            "fax_number": "727-754-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 TAMPA RD",
            "address_2": "STE 101",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843155",
            "telephone_number": "727-754-1984",
            "fax_number": "727-754-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIB",
        "first_name": "MAGDA",
        "middle_name": "FAWZY",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME114184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGDA",
            "last_name": "MAKRAM/SALIB",
            "middle_name": "FAWZY",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.