Active NPI
Husam E. Shuayb MD PA
- Specialist
- Brooksville, FL
National Provider Identifier
1477855385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME038075
- Legal business name
- HUSAM E. SHUAYB MD PA
- Practice address
- 11373 Cortez Blvd
Suite 306
Brooksville, FL 34613-5411 - Phone
- (352) 596-6264
- NPI assigned
- Nov 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Husam Shuayb
- Title
- MD
- Phone
- (352) 596-6264
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME038075 | FL | Primary |
Addresses
Primary practice location
11373 Cortez Blvd
Suite 306
Brooksville, FL 34613-5411
Mailing address
11373 Cortez Blvd
Suite 306
Brooksville, FL 34613-5414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Brooksville, FL
- NPI 1922041284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368057600000",
"number": "1477855385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11373 CORTEZ BLVD",
"address_2": "SUITE 306",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11373 CORTEZ BLVD",
"address_2": "SUITE 306",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135411",
"telephone_number": "352-596-6264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUSAM E. SHUAYB MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-29",
"last_updated": "2013-05-09",
"status": "A",
"authorized_official_last_name": "SHUAYB",
"authorized_official_first_name": "HUSAM",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "352-596-6264"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME038075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.