Habib Buabbas

Primary specialty

DriverTaxonomy code 172A00000X

License

VA300974 Issued in OH

Practice address

425 Patterson Rd
Dayton, OH 45419-4308

Phone

(937) 979-9044

Fax

(937) 979-9009

NPI assigned

May 1, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Idrive LLC

  • Non-emergency Medical Transport (VAN)
  • Dayton, OH
  • NPI 1073134821
  NPD

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1699396556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PATTERSON RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454194308",
            "telephone_number": "937-979-9044",
            "fax_number": "937-979-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PATTERSON RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454194308",
            "telephone_number": "937-979-9044",
            "fax_number": "937-979-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUABBAS",
        "first_name": "HABIB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "OH",
            "license": "VA300974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Daniel A. Brynolf, PSY.D.
• Mette Traae Brynolf, PSY.D.
• Jill Therese Bryson, D.C.
• Matthew David Bryson, PMHNP
• Patrick Bryson, D.C.
• Mahdi Buabbas
• Jill Bucaro, MSW, LISW
• Theresa Buccellato
• Zachary Taylor Buchan, PA-C
• Larry D Buchanan, DO

• Driver in Dayton, OH
• Providers in Dayton, OH by specialty
• Driver in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.