St. George Family Practice P.C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25251 Issued in NE

Legal business name

ST. GEORGE FAMILY PRACTICE P.C

Practice address

3440 S 50TH St
Omaha, NE 68106-3829

Phone

(402) 404-6061

Fax

(402) 933-1374

NPI assigned

Mar 27, 2012

Organization subpart

No

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

Authorized official

Name

Mohsen Abou Seif, MDNPI 1437373073

Title

Physican/Owner

Phone

(402) 305-8755

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohsen Abou Seif, M.B.CH.B

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1437373073

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1447526157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12428 ROSE LN",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541469",
            "telephone_number": "402-305-8755",
            "fax_number": "402-933-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 S 50TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063829",
            "telephone_number": "402-404-6061",
            "fax_number": "402-933-1374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12428 Rose Ln",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681541469",
            "country_code": "US",
            "telephone_number": "402-305-8755",
            "fax_number": "402-933-1374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. GEORGE FAMILY PRACTICE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "ABOU SEIF",
        "authorized_official_first_name": "MOHSEN",
        "authorized_official_title_or_position": "PHYSICAN/OWNER",
        "authorized_official_telephone_number": "402-305-8755",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "25251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100263254-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Croix Hospice LLC
• St Croix Nebraska Sip LLC
• Ramiah St Fleur
• Thomas Henry St Germain, DDS
• Sheila K St. Amant
• Melissa Lynn St. Germain, MD
• St. Joseph Terrace Apartments, LLC
• St. Luke United Methodist Church
• Laurie St. Patrick
• Jamie R Staab-Peters, APRN

• Family Medicine Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.