Active NPI
Bassam S Nakfour, MD
- Obstetrics & Gynecology Physician
- Dayton, OH
National Provider Identifier
1811126956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 39302
- Practice address
- 809 Blossom Heath Rd
Dayton, OH 45419-1102 - Phone
- (937) 294-3217
- Fax
- (937) 293-6002
- NPI assigned
- Jul 10, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 39302 | OH | Primary |
Addresses
Primary practice location
809 Blossom Heath Rd
Dayton, OH 45419-1102
Mailing address
809 Blossom Heath Rd
Dayton, OH 45419-1102
Phone (937) 294-3217
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 |
|---|---|---|---|
| 39302 | OH | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247184000000",
"number": "1811126956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 BLOSSOM HEATH RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454191102",
"telephone_number": "937-294-3217",
"fax_number": "937-293-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 BLOSSOM HEATH RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454191102",
"telephone_number": "937-294-3217",
"fax_number": "937-293-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKFOUR",
"first_name": "BASSAM",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-10",
"last_updated": "2009-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "39302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.