Maysoun Yossef El Jarouche, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

004313 Issued in OH

Practice address

960 W Wooster St Ste 107
Bowling Green, OH 43402-2646

Phone

(419) 373-7692

Fax

(419) 373-4198

NPI assigned

Mar 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1487047379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 WADSWORTH DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435603750",
            "telephone_number": "419-250-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W WOOSTER ST STE 107",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022646",
            "telephone_number": "419-373-7692",
            "fax_number": "419-373-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL JAROUCHE",
        "first_name": "MAYSOUN",
        "middle_name": "YOSSEF",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "004313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Matthew Eckstein, CT, CDCA, QMHS
• Katelyn Sue Edge
• Yolanda Evette Edwards-Pargo
• Stanley Edwards, PH.D.
• Hesham H El Gamal, M.D.
• Elai Freed LLC
• Scott Mattew Ellinger, LPN
• Sherry L Emerine, LISW
• Connor John Englert, ATC, LAT
• Thomas James Ensman, PT

• Medical Physician Assistant in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.
• 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.