Individual provider Active NPI

Nahed Azmy Nagib, M.D

  • General Practice Physician
  • Sebring, FL
National Provider Identifier
1669732236
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME94974 Issued in FL
Practice address
3015 Herring Ave
Sebring, FL 33870-1067
Phone
(863) 471-1870
Fax
(863) 382-3324
NPI assigned
May 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME94974 FL Primary

Addresses

Primary practice location

3015 Herring Ave
Sebring, FL 33870-1067

Mailing address

2341 Lakeview Dr
Sebring, FL 33870-4979
Phone (863) 382-6181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME94974FLMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1669732236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 LAKEVIEW DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338704979",
            "telephone_number": "863-382-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 HERRING AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701067",
            "telephone_number": "863-471-1870",
            "fax_number": "863-382-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGIB",
        "first_name": "NAHED",
        "middle_name": "AZMY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME94974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

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