NPIMap

Organization Active NPI

Sherif Sayed Ismail MD PC

  • Skilled Nursing Facility
  • Lawton, OK
National Provider Identifier
1629328786
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
22720 Issued in OK
Legal business name
SHERIF SAYED ISMAIL MD PC
Practice address
3201 W Gore Blvd
Suite 105
Lawton, OK 73505-6378
Phone
(580) 510-7077
Fax
(580) 510-7057
NPI assigned
Sep 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Dr. Sherif Sayed Ismail, M.D.
Title
Owner
Phone
(580) 510-7077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 22720 OK Primary

Addresses

Primary practice location

3201 W Gore Blvd
Suite 105
Lawton, OK 73505-6378

Mailing address

3201 W Gore Blvd
Suite 105
Lawton, OK 73505-6378
Phone (580) 510-7077

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1629328786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W GORE BLVD",
            "address_2": "SUITE 105",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056378",
            "telephone_number": "580-510-7077",
            "fax_number": "580-510-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W GORE BLVD",
            "address_2": "SUITE 105",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056378",
            "telephone_number": "580-510-7077",
            "fax_number": "580-510-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIF SAYED ISMAIL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_middle_name": "SAYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-510-7077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "22720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.