Jahid Ahmad Wahabzai, PA-C, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

UO9876 Issued in FL

Practice address

Adventhealth Tampa
13601 Bruce B. Downs Blvd
Tampa, FL 33613

Phone

(407) 303-5990

Fax

(407) 303-7323

NPI assigned

Aug 18, 2017

Last updated

Jul 8, 2024By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jwahabzai46190@direct.conemaugh.org
• Direct secure messaging: jwahabzai3474562@adventhealth.direct-ci.com

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1477079606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 PEMBROKE DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054371",
            "telephone_number": "850-559-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ADVENTHEALTH TAMPA",
            "address_2": "13601 BRUCE B. DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33613",
            "telephone_number": "407-303-5990",
            "fax_number": "407-303-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHABZAI",
        "first_name": "JAHID",
        "middle_name": "AHMAD",
        "credential": "PA-C, DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-18",
        "last_updated": "2024-07-08",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54761",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111733",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "UO9876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Brennan Wagner, MD
• Michael Justin Wagoner, M.D.
• Paula Marie Wagoner, ARNP
• Ryan Colt Wagoner, M.D.
• Waseem Zechariah Wagrees, MD
• Deena Wadie Wahba, CGC
• Irene N Wahba, M.D.
• Melissa Marie Wahba, MD
• Gina Christine Wahl
• Debra Wahlstrom, CRNA

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, 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 Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.