Individual provider Active NPI

Nour Ehab Samaha

  • Speech-Language Pathologist
  • Dearborn, MI
National Provider Identifier
1720565765
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7151013473 Issued in MI
Practice address
3101 S Gulley Rd Ste F
Dearborn, MI 48124-4406
Phone
(734) 407-2500
Fax
(313) 792-8962
NPI assigned
Jul 23, 2018
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X MI
Speech-Language Pathologist 235Z00000X 7151013473 MI Primary

Addresses

Primary practice location

3101 S Gulley Rd Ste F
Dearborn, MI 48124-4406

Mailing address

216 Nura CT
Ypsilanti, MI 48197-7464
Phone (734) 444-4963

Other practice location 1

216 Nura Ct
Ypsilanti, MI 48197-7464
Phone (734) 444-4963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7151013473MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Futures Healthcore, LLC Speech-Language Pathologist CurrentSince Jan 10, 2021 Accepting new patients
Issa Speech Therapy PLLC Speech-Language Pathologist CurrentSince Oct 20, 2024 Accepting new patients

Locations

2900 Golfside Dr
Ste 6
Ann Arbor, MI 48108
Phone (734) 221-5696

3101 S Gulley Rd
Ste F
Dearborn, MI 48124
Phone (734) 407-2500

5245 Schaefer Rd
Ste D
Dearborn, MI 48126
Phone (248) 862-5311

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1720565765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 NURA CT",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481977464",
            "telephone_number": "734-444-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 S GULLEY RD STE F",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244406",
            "telephone_number": "734-407-2500",
            "fax_number": "313-792-8962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Nura Ct",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481977464",
            "country_code": "US",
            "telephone_number": "734-444-4963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMAHA",
        "first_name": "NOUR",
        "middle_name": "EHAB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7151013473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.