Organization Active NPI

Talib Hussain MD PA

  • Interventional Cardiology Physician
  • Sebastian, FL
National Provider Identifier
1689880353
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME21499 Issued in FL
Legal business name
TALIB HUSSAIN MD PA
Practice address
7768 Bay St
Suite 12
Sebastian, FL 32958-3427
Phone
(772) 589-7177
Fax
(772) 589-9101
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Phyllis B Morrow
Title
Office Manager
Phone
(772) 589-7177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X ME21499 FL Primary

Addresses

Primary practice location

7768 Bay St
Suite 12
Sebastian, FL 32958-3427

Mailing address

7768 Bay St
Suite 12
Sebastian, FL 32958-3427
Phone (772) 589-7177

National Provider Directory

National Provider Directory

Locations

7768 Bay St
Ste 12
Sebastian, FL 32958
Phone (772) 589-0270

7768 Bay St
#12
Sebastian, FL 32958
Phone (561) 581-4277

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689880353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7768 BAY ST",
            "address_2": "SUITE 12",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583427",
            "telephone_number": "772-589-7177",
            "fax_number": "772-589-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7768 BAY ST",
            "address_2": "SUITE 12",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583427",
            "telephone_number": "772-589-7177",
            "fax_number": "772-589-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALIB HUSSAIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-589-7177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME21499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.