Eric Wafiek Guirguis, DDS, MSD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

18958 Issued in OH

Practice address

29160 Center Ridge Rd
Suite J
Westlake, OH 44145-5225

Phone

(440) 835-8883

Fax

(440) 835-9395

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1831234533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29160 CENTER RIDGE RD",
            "address_2": "SUITE #J",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455225",
            "telephone_number": "440-835-8883",
            "fax_number": "440-835-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29160 CENTER RIDGE RD",
            "address_2": "SUITE J",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455225",
            "telephone_number": "440-835-8883",
            "fax_number": "440-835-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIRGUIS",
        "first_name": "ERIC",
        "middle_name": "WAFIEK",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "18958",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "18958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ewa M Gross-Sawicka, MD
• Catalin Grozav, PHARMD
• Kristen Rae Grubb, MD
• Angela Rose Gruenberg, AUD
• Michael J Grusenmeyer, M.D.
• Karen Sue Gurley, PT
• Sarah Haagensen, RBT
• Leonard T Haas, MD
• Dana Habash-Bseiso, MD
• Rami Nazem Hachwi, MD

• Oral and Maxillofacial Surgery (Dentist) in Westlake, OH
• Providers in Westlake, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.