Omar David Hussamy MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME65456 Issued in FL

Legal business name

OMAR DAVID HUSSAMY MD PA

Practice address

1717 Indian River Blvd Ste 202B
Vero Beach, FL 32960-0864

Phone

(772) 213-9800

Fax

(772) 213-9810

NPI assigned

May 15, 2006

Last updated

Jul 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Clough

Title

Practice Manager

Phone

(772) 213-9800

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 7

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.

• Omar David Hussamy, M.D.

  • Orthopaedic Surgery Physician
  • Vero Beach, FL
  • NPI 1376594069
  Medicare reassignment NPD
• Antonio Justado Jr.

  • Physical Therapist
  • Vero Beach, FL
  • NPI 1235251257
  Medicare reassignment NPD
• Jonathan Cleon Hendricks, PA-C

  • Physician Assistant
  • Cape Coral, FL
  • NPI 1033185699
  NPD (past)
• Jennifer L Lang, PA-C

  • Surgical Physician Assistant
  • Palm Bay, FL
  • NPI 1417912494
  NPD (past)
• Thomas David Snyder, PA-C

  • Surgical Physician Assistant
  • Bradenton, FL
  • NPI 1780648949
  NPD (past)
• Jay Allen Spinka, PA-C

  • Medical Physician Assistant
  • Lake Worth, FL
  • NPI 1548223134
  NPD (past)
• Shannon Brackett Heuts, PA-C

  • Physician Assistant
  • Rocky Mount, NC
  • NPI 1326006214
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1780635557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643408",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329643408",
            "telephone_number": "772-213-9800",
            "fax_number": "772-213-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 INDIAN RIVER BLVD STE 202B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600864",
            "telephone_number": "772-213-9800",
            "fax_number": "772-213-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR DAVID HUSSAMY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "CLOUGH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "772-213-9800"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME65456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200025538",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "23805",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrice Olmeda
• Dustin Olsen
• Jessica Anne Olsen, MD
• Brittney Olson, FNP-C
• Thomas Olson, M.D.
• Adil Omar, DMD
• James Conrad Omeally
• Kimberle R. Omler, PHARMD
• One Touch Home Healthcare LLC
• Monisola O Oni, MD

• Orthopaedic Surgery Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.