Sam N Ghoubrial MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35067926 Issued in OH

Legal business name

SAM N GHOUBRIAL MD INC

Practice address

195 Wadsworth Rd.
Suite 402
Wadsworth, OH 44281

Phone

(330) 331-7207

Fax

(330) 331-7587

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Crystal Pelfrey

Title

Office Manager

Phone

(330) 331-7207

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1821170911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 GRANGER RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443331538",
            "telephone_number": "330-331-7207",
            "fax_number": "330-331-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 WADSWORTH RD.",
            "address_2": "SUITE 402",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "44281",
            "telephone_number": "330-331-7207",
            "fax_number": "330-331-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM N GHOUBRIAL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "PELFREY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-331-7207"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35067926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2683298",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharleen Renee Ross, MSW, LSW, LCDC III
• Shaun Ross, MS, OTR/L
• Tara Ross, LPCC
• Jay C Russell, RPH
• Diana Linn Rutherford, LPN
• Brittney Samaco
• Sanctuary Wadsworth LLC
• Kyle Sanford
• Saad A Sanyurah, M.D.
• Matthew Charles Saris

• Internal Medicine Physician in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.