Active NPI
Manar Abed Hammoud, MD
- Pediatrics Physician
- Flint, MI
National Provider Identifier
1730130279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301067983
- Practice address
- G5119 W Bristol Rd
Suite a
Flint, MI 48507 - Phone
- (810) 720-1510
- Fax
- (810) 720-1726
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301067983 | MI | Primary |
Addresses
Primary practice location
G5119 W Bristol Rd
Suite a
Flint, MI 48507
Mailing address
G-5119 West Bristol Rd
Suite a
Flint, MI 48507
Phone (810) 720-1510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4215497 | Medicaid | MI |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301067983 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurley Medical Center | Past | Accepting new patients | |
| Genesee Pediatrics | Pediatrics | Past | Accepting new patients |
| Genesee Pediatrics PC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- mhammoud@geneseepediatrics.gwaydirect.com
- mhammoud1131235@direct.hfhs.org
- mhammoud8906@direct.hurleymc.com
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Flint, MI
- NPI 1447217732
-
- General Acute Care Hospital
- Flint, MI
- NPI 1598717480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344902400000",
"number": "1730130279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "G-5119 WEST BRISTOL RD",
"address_2": "SUITE A",
"city": "FLINT",
"state": "MI",
"postal_code": "48507",
"telephone_number": "810-720-1510",
"fax_number": "810-720-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G5119 W BRISTOL RD",
"address_2": "SUITE A",
"city": "FLINT",
"state": "MI",
"postal_code": "48507",
"telephone_number": "810-720-1510",
"fax_number": "810-720-1726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOUD",
"first_name": "MANAR",
"middle_name": "ABED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2012-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301067983",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4215497",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.