Active NPI
Youssef Hazimah MD
- Internal Medicine Physician
- Maumee, OH
National Provider Identifier
1750425377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35051925
- Legal business name
- YOUSSEF HAZIMAH MD
- Practice address
- 2425 Detroit Ave
Maumee, OH 43537-3714 - Phone
- (419) 893-8746
- Fax
- (419) 893-5351
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Youssef Hazimah, MD
- Title
- Owner
- Phone
- (419) 893-8746
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35051925 | OH | Primary |
Addresses
Primary practice location
2425 Detroit Ave
Maumee, OH 43537-3714
Mailing address
2425 Detroit Ave
Maumee, OH 43537-3714
Phone (419) 893-8746
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 282641385001 | Other | OH | MEDICAL MUTUAL |
| 00017 | Other | OH | PARAMOUNT |
| 0640319 | Medicaid | OH | |
| 000000133965 | Other | OH | ANTHEM |
National Provider Directory
National Provider DirectoryLocations
2425 Detroit Ave
Maumee, OH 43537
Phone (419) 893-8746
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1881679140
-
- Family Medicine Physician
- Perrysburg, OH
- NPI 1164407532
-
- Internal Medicine Physician
- Perrysburg, OH
- NPI 1801880471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1750425377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 DETROIT AVE",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435373714",
"telephone_number": "419-893-8746",
"fax_number": "419-893-5351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 DETROIT AVE",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435373714",
"telephone_number": "419-893-8746",
"fax_number": "419-893-5351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUSSEF HAZIMAH MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "HAZIMAH",
"authorized_official_first_name": "YOUSSEF",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "419-893-8746",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OH",
"license": "35051925",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "282641385001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "00017",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0640319",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000133965",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.