Hussam Ismael, M.D

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME127794 Issued in FL

Practice address

17222 Hospital Blvd
Suite 326
Brooksville, FL 34601-8925

Phone

(352) 686-2360

Fax

(352) 556-4818

NPI assigned

Dec 21, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1710281340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD",
            "address_2": "SUITE 326",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "telephone_number": "352-686-2360",
            "fax_number": "352-556-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD",
            "address_2": "SUITE 326",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "telephone_number": "352-686-2360",
            "fax_number": "352-556-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAEL",
        "first_name": "HUSSAM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-21",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301097478",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME127794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Institute of Interventional Pain Management PA
• Integrated Regional Laboratories Pathology Services, LLC
• Janice Chaneco Ipo, PMHNP-BC
• Maham Irfan
• Muhammad Saad Irfan, MD
• James R Jachimowicz, M.D.
• Gary Leonard Jacobs, OPTICIAN
• Jerry Richard Jacobs, DO
• Nancy Anne Jacobs
• Mary Jacubec

• Surgery Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.