Clinic by the Sea LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

C1-0005201 Issued in DE

Legal business name

CLINIC BY THE SEA LLC

Practice address

16295 Willow Creek Rd
Lewes, DE 19958-3614

Phone

(302) 644-0999

Fax

(302) 644-3099

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Georges A Dahr, MDNPI 1720089287

Title

Co President

Phone

(302) 644-0999

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CFAFBA

Practitioners 12

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

• Georges A Dahr, MD

  • Cardiovascular Disease Physician
  • Millsboro, DE
  • NPI 1720089287
  Medicare reassignment Care Compare group NPD Authorized official
• Svetlana Aleksandrovna Agapov, A-GNP-C

  • Gerontology Nurse Practitioner
  • Lewes, DE
  • NPI 1952088668
  Medicare reassignment Care Compare group NPD
• Praveen George, MD

  • Cardiovascular Disease Physician
  • Lewes, DE
  • NPI 1285052605
  Medicare reassignment Care Compare group NPD
• Ashley Dawn Hill, FNP-BC

  • Family Nurse Practitioner
  • Lewes, DE
  • NPI 1477819936
  Medicare reassignment Care Compare group NPD
• Sarah Faith Robinson, DNP, FNP-BC

  • Family Nurse Practitioner
  • Lewes, DE
  • NPI 1821639402
  Medicare reassignment Care Compare group NPD
• Pamela Davis Blondin, ACNP-BC

  • Acute Care Nurse Practitioner
  • Lewes, DE
  • NPI 1467820415
  Medicare reassignment NPD
• Zeina Jeha, MD

  • Internal Medicine Physician
  • Lewes, DE
  • NPI 1669473641
  Medicare reassignment NPD
• Diamond Michelle Micielli, FNP

  • Nurse Practitioner
  • Milton, DE
  • NPI 1184013757
  Medicare reassignment NPD
• Susan Rae Parks, FNP-BC

  • Nurse Practitioner
  • Lewes, DE
  • NPI 1841683331
  Medicare reassignment NPD
• Joanna Robertson, FNP

  • Nurse Practitioner
  • Lewes, DE
  • NPI 1619483427
  Medicare reassignment NPD
• Armin Barekatain, MD

  • Cardiovascular Disease Physician
  • Laguna Hills, CA
  • NPI 1982950572

  DE

  Medicare reassignment NPD
• Michael P Sabadish, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Thorndale, PA
  • NPI 1154393072

  Cardiovascular Disease, DE

  Medicare reassignment NPD

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1477561306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16295 WILLOW CREEK RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583614",
            "telephone_number": "302-644-0999",
            "fax_number": "302-644-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16295 WILLOW CREEK RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583614",
            "telephone_number": "302-644-0999",
            "fax_number": "302-644-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC BY THE SEA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "DAHR",
        "authorized_official_first_name": "GEORGES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO PRESIDENT",
        "authorized_official_telephone_number": "302-644-0999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C1-0005201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000015445",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Billy Kenneth Clem, RN
• Cynthia Lynn Clem, RN
• Susan Elaine Clem, RN
• Stacy Lynn Clinemyer, RN
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• Coastal IV

• Cardiovascular Disease Physician in Lewes, DE
• Providers in Lewes, DE by specialty
• Cardiovascular Disease Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.