Physician Partners Network PA

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PHYSICIAN PARTNERS NETWORK PA

Practice address

11373 Cortez Blvd
Suite 304
Brooksville, FL 34613-5414

Phone

(352) 597-8994

Fax

(352) 597-8901

NPI assigned

Nov 11, 2006

Organization subpart

No

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

Authorized official

Name

Husam Abuzarad, MD

Title

Owner

Phone

(352) 596-4657

Specialties & licenses 4

Addresses

Other identifiers 3

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1386715480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD",
            "address_2": "SUITE 304",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135414",
            "telephone_number": "352-597-8994",
            "fax_number": "352-597-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD",
            "address_2": "SUITE 304",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135414",
            "telephone_number": "352-597-8994",
            "fax_number": "352-597-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN PARTNERS NETWORK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-11",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "ABUZARAD",
        "authorized_official_first_name": "HUSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-596-4657",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251473700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "40952",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD8188",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thien Hung Pham, DDS
• Philip Townsend MD PA
• Ana Roberta Philipsen, ACUPUNCTURE PHYSICIA
• Phoenix Counseling Service Inc
• Physical Therapy Services of Brooksville Inc
• Physician Partners Network PA
• Mallik A Piduru, M.D.
• Edward Russell Pierce
• Isabel Pietras
• Debra Jean Pilla

• Rural Health Clinic/Center in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Rural Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.