Basem Droubi, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

35040353 Issued in OH

Practice address

20997 Lorain Rd
Fairview Park, OH 44126-2030

Phone

(440) 356-1009

Fax

(440) 356-1014

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1811910284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20997 LORAIN ROAD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262030",
            "telephone_number": "440-356-1009",
            "fax_number": "440-356-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20997 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262030",
            "telephone_number": "440-356-1009",
            "fax_number": "440-356-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROUBI",
        "first_name": "BASEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35040353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0471181",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Vascular Surgery Physician in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Vascular Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.