Fadhil K Abbousy, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35032086 Issued in OH

Practice address

650 S Prospect Ave
Ste 202
Hartville, OH 44632

Phone

(330) 877-7755

Fax

(330) 877-7754

NPI assigned

Sep 14, 2006

Last updated

Jul 8, 2007By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• F K Abbousy MD, Inc.

  dba Harville Pediatrics

  • Pediatrics Physician
  • Hartville, OH
  • NPI 1316052806
  Authorized official Same address or phone

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346345204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80690",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44708",
            "telephone_number": "330-833-5530",
            "fax_number": "330-833-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S PROSPECT AVE",
            "address_2": "STE 202",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "44632",
            "telephone_number": "330-877-7755",
            "fax_number": "330-877-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOUSY",
        "first_name": "FADHIL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35032086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158903",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alliance Family Health Center, Inc
• Altercare of Hartville Center for Rehabilitation & Nursing Care, Inc
• Baden Counseling Services, L.L.C.
• Jorge Ivan Bayona
• Paula Yvonne Beacom

• Pediatrics Physician in Hartville, OH
• Providers in Hartville, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.