Active NPI
Sabine Medical Associates, Inc.
- Pediatrics Physician
- Many, LA
National Provider Identifier
1710177167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 13676R
- Legal business name
- SABINE MEDICAL ASSOCIATES, INC.
- Practice address
- 210 Highland Dr
Many, LA 71449-3718 - Phone
- (318) 256-5722
- Fax
- (318) 256-5774
- NPI assigned
- Jul 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Husam Haidar Sukerek, M.D.
- Title
- President/Officer
- Phone
- (318) 256-5722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 13676R | LA | Primary |
Addresses
Primary practice location
210 Highland Dr
Many, LA 71449-3718
Mailing address
210 Highland Dr
Many, LA 71449-3718
Phone (318) 256-5722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1436542 | Medicaid | LA |
Other names 1
- Husam Sukerek, M.D.
National Provider Directory
National Provider Directory- Tax ID family
- Sabine Medical Associates Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Gastroenterology Physician
- Many, LA
- NPI 1184169773
-
- Rural Health Clinic/Center
- Many, LA
- NPI 1790967826
Locations
210 Highland Dr
Many, LA 71449
Phone (318) 256-5722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185840000000",
"number": "1710177167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 HIGHLAND DR",
"city": "MANY",
"state": "LA",
"postal_code": "714493718",
"telephone_number": "318-256-5722",
"fax_number": "318-256-5774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 HIGHLAND DR",
"city": "MANY",
"state": "LA",
"postal_code": "714493718",
"telephone_number": "318-256-5722",
"fax_number": "318-256-5774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SABINE MEDICAL ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-31",
"last_updated": "2007-07-31",
"status": "A",
"authorized_official_last_name": "SUKEREK",
"authorized_official_first_name": "HUSAM",
"authorized_official_middle_name": "HAIDAR",
"authorized_official_title_or_position": "PRESIDENT/OFFICER",
"authorized_official_telephone_number": "318-256-5722",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "LA",
"license": "13676R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1436542",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Husam Sukerek, M.D.",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Many, LA
- Sabine Council on Aging, Inc.
- Sabine Emergency Medicine LLC
- Sabine Hospitalist Physician Group, LLC
- Sabine Medical Associates, Inc
- Sabine Medical Associates, Inc
- Sabine Medical Center
- Sabine Medical Center Inc
- Sabine Parish School Board
- Sabine Parish Schools
- Sabine Retirement & Rehabilitation Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.