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

Last updated

Sep 4, 2024By the provider in NPPES

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

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, and the practitioner matching its NPPES authorized official.

• 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": [],
    "endpoints": [],
    "other_names": []
}

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• Stacy Lynn Clinemyer, RN
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• 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.