Omaima Mousa, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

ME87566 Issued in FL

Practice address

8880 Navarre Pkwy Ste 102
Navarre, FL 32566-3613

Phone

(850) 939-5550

Fax

(850) 939-5445

NPI assigned

Jun 23, 2006

Last updated

May 8, 2008By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mousa.omaima.004.0090270@nped.meditab.direct-ci.com

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1659307775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 NAVARRE PKWY STE 102",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325663613",
            "telephone_number": "850-939-5550",
            "fax_number": "850-939-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 NAVARRE PKWY STE 102",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325663613",
            "telephone_number": "850-939-5550",
            "fax_number": "850-939-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSA",
        "first_name": "OMAIMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME87566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAM",
            "identifier": "591-68789",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
            "identifier": "81080",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268996100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Molnar, OTR/L
• John Thomas Molyneaux, D.O.
• Adare Morell, ARNP
• Zachary Morris
• Joan M Mosher, ARNP
• Jody Mowrey, PSYD LMHC RN
• Benjamin C Moyer II
• Rachel Muniz
• Heather Murray
• Payton Myers, RBT

• Pediatric Adolescent Medicine Physician in Navarre, FL
• Providers in Navarre, FL by specialty
• Pediatric Adolescent Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.