Yazan Musallem Sarsour, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

34.007644 Issued in OH

Practice address

950 W Wooster St
Bowling Green, OH 43402-2603

Phone

(419) 354-8667

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ultimate Care Emergency Physicians LLCGroup PAC ID 2668887209, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wood County Hospital Hospital, Bowling Green, OH, CCN 360029

Merit-based Incentive Payment System (MIPS)

Final score

96.39 of 100Reported as group

Quality

92.77

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ultimate Care Emergency Physicians LLC

  • Emergency Medicine Physician
  • Bowling Green, OH
  • NPI 1083202816
  Medicare reassignment Care Compare group NPD Authorized official
• Ohio Emergency Professionals Inc

  • Emergency Medicine Physician
  • Columbus, OH
  • NPI 1982983425
  Medicare reassignment NPD
• Advanced Care Emergency Medicine Group, LLC

  • Emergency Medicine Physician
  • Bowling Green, OH
  • NPI 1467817304
  Authorized official Same address or phone
• Emergency Medicine Group

  • Specialist
  • Sylvania, OH
  • NPI 1225086085
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wood County Hospital Assn

  dba Wood County Hospital

  • General Acute Care Hospital
  • Bowling Green, OH
  • NPI 1790751253
  Care Compare affiliation

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1629021324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W WOOSTER ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022603",
            "telephone_number": "419-373-7642",
            "fax_number": "419-704-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W WOOSTER ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022603",
            "telephone_number": "419-354-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARSOUR",
        "first_name": "YAZAN",
        "middle_name": "MUSALLEM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "34007644",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.007644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2292004",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariah Elizabeth Samberg, PHARMD, R.PH.
• Rogelio A Sanchez, MD
• William Sanford
• Megan Katherine Hannan Sankey, B.S., R.D., L.D.
• Ashley Sankiewicz
• Elizabeth Sauppe, LSW
• Julia Elizabeth Sayen
• Kirsty E Sayer, LPC
• Todd Michael Sayler
• Breanna Scarberry, MSW. LISW

• Emergency Medicine Physician in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.