Individual provider Active NPI

Amr Youssry Hammouda, MBBCH

  • Student in an Organized Health Care Education/Training Program
  • Pensacola, FL
National Provider Identifier
1730671298
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
TRN26077 Issued in FL
Practice address
Community Health Northwest Florida
1295 W. Fairfield Drive
Pensacola, FL 32501
Phone
(850) 941-7841
Fax
(850) 332-0155
NPI assigned
May 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN26077 FL Primary

Addresses

Primary practice location

Community Health Northwest Florida
1295 W. Fairfield Drive
Pensacola, FL 32501

Mailing address

University of Florida Pediatric Residency
5153 North 9TH Ave, 6TH Floor Nemours
Pensacola, FL 32504
Phone (850) 416-7658

Other practice location 1

Sacred Heart Hospital
5151 North 9th ave
Pensacaola, FL 32504
Phone (850) 416-7000

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN26077FLMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1730671298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF FLORIDA PEDIATRIC RESIDENCY",
            "address_2": "5153 NORTH 9TH AVE, 6TH FLOOR NEMOURS",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32504",
            "telephone_number": "850-416-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMUNITY HEALTH NORTHWEST FLORIDA",
            "address_2": "1295 W. FAIRFIELD DRIVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32501",
            "telephone_number": "850-941-7841",
            "fax_number": "850-332-0155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Sacred Heart Hospital",
            "address_2": "5151 North 9th ave",
            "address_purpose": "LOCATION",
            "city": "Pensacaola",
            "state": "FL",
            "postal_code": "32504",
            "country_code": "US",
            "telephone_number": "850-416-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMOUDA",
        "first_name": "AMR",
        "middle_name": "YOUSSRY",
        "credential": "MBBCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN26077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.