Sameh Fayez Wanis, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

OS7511 Issued in FL

Practice address

2925 10TH Ave N
Suite 204
Lake Worth, FL 33461-3000

Phone

(561) 969-3500

Fax

(561) 966-8898

NPI assigned

Jul 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

OB Hospitalist Group LLCGroup PAC ID 5193866838, 127 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ECJADD/Endpoint/ECJADD

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.

• OB Hospitalist Group LLC

  • Obstetrics & Gynecology Physician
  • Boca Raton, FL
  • NPI 1710647334
  Medicare reassignment Care Compare group NPD
• DHP of Manatee PA

  • Obstetrics & Gynecology Physician
  • Mangonia Park, FL
  • NPI 1134771611
  Medicare reassignment NPD
• Pediatrix Medical Group of Florida Inc

  • Pediatric Cardiology Physician
  • Sunrise, FL
  • NPI 1083711790

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Sam F Wanis DO PA

  • Obstetrics & Gynecology Physician
  • Lake Worth, FL
  • NPI 1235375122
  NPD (past) Authorized official
• OB Hospitalist Group LLC

  • Obstetrics & Gynecology Physician
  • Melbourne, FL
  • NPI 1245472661
  NPD
• OB Hospitalist Group LLC

  • Obstetrics & Gynecology Physician
  • Winter Haven, FL
  • NPI 1851282016
  NPD

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720005614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 10TH AVE N",
            "address_2": "SUITE 204",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613000",
            "telephone_number": "561-969-3500",
            "fax_number": "561-966-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 10TH AVE N",
            "address_2": "SUITE 204",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613000",
            "telephone_number": "561-969-3500",
            "fax_number": "561-966-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANIS",
        "first_name": "SAMEH",
        "middle_name": "FAYEZ",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS7511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE CROSS/BLUE SHIELD",
            "identifier": "46246",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Brittany Wallace, PT, DPT
• Charles Foster Walton, DC
• Nichole Ann Walz, D.C.
• Nelcie Wancy
• Maria Ward
• Tiffany Janay Ward, LMHC
• Andrea Warner
• Casey Warren
• Lindsey Warren

• Obstetrics & Gynecology Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.