Osama Shuaib Ismail

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OSAMA SHUAIB ISMAIL

Practice address

110 E Byrd Ave
Bonifay, FL 32425-3004

Phone

(850) 547-4799

NPI assigned

Jul 12, 2021

Organization subpart

No

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

Authorized official

Name

Osama Ismail, MD

Title

Owner

Phone

(850) 319-3361

Specialties & licenses 1

Addresses

Tax ID family

Osama Shuaib Ismail2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Osama Shuaib Ismail MD LLC

  • Rural Health Clinic/Center
  • Bonifay, FL
  • NPI 1912764788
  NPD tax ID

Locations

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1356913370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1496 S WEEKS ST",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324253284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E BYRD AVE",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324253004",
            "telephone_number": "850-547-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSAMA SHUAIB ISMAIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "OSAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-319-3361",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nemours Children's Health, Bonifay, Specialty Care
• Kelsie Nesbit, RBT
• Michelle Newton, APRN
• Northwest Florida Healthcare, Inc. (Bailey Family Practice - Northwest Florida Community Hospital)
• Onyx Health LLC
• Osama Shuaib Ismail MD LLC
• John Stanley Owens, D.C.
• Pak Rural Health
• Pancare of Florida, Inc
• Panhandle Family Medicine, LLC

• Internal Medicine Physician in Bonifay, FL
• Providers in Bonifay, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.