Organization Active NPI

Abdelnasser Elmansoury MD, PA

  • Specialist
  • Brooksville, FL
National Provider Identifier
1740728955
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0064736 Issued in FL
Legal business name
ABDELNASSER ELMANSOURY MD, PA
Practice address
17222 Hospital Blvd Ste 238
Brooksville, FL 34601-8925
Phone
(352) 345-4804
NPI assigned
Feb 8, 2017
Last updated
Feb 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Abdelnasser Elmansoury, MDNPI 1639117252
Title
Owner
Phone
(352) 345-4804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0064736 FL Primary

Addresses

Primary practice location

17222 Hospital Blvd Ste 238
Brooksville, FL 34601-8925

Mailing address

17222 Hospital Blvd Ste 238
Brooksville, FL 34601-8925
Phone (352) 345-4804

National Provider Directory

National Provider Directory
Tax ID family
Abdelnasser Elmansoury MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1740728955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD STE 238",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "telephone_number": "352-345-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD STE 238",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "telephone_number": "352-345-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDELNASSER ELMANSOURY MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "ELMANSOURY",
        "authorized_official_first_name": "ABDELNASSER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-345-4804",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0064736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.