Active NPI
Edward Jack Sayegh, M.D
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1851557300
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Oct 20, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40787
- Practice address
- 2601 N 3Rd St
Phoenix, AZ 85004-1104 - Phone
- (602) 264-5359
- NPI assigned
- Aug 4, 2008
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 40787 | AZ | Primary |
Addresses
Primary practice location
2601 N 3Rd St
Phoenix, AZ 85004-1104
Mailing address
2601 N 3Rd St
Phoenix, AZ 85004-1104
Phone (602) 264-5359
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219017600000",
"number": "1851557300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 N 3RD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041104",
"telephone_number": "602-264-5359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 N 3RD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041104",
"telephone_number": "602-264-5359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYEGH",
"first_name": "EDWARD",
"middle_name": "JACK",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-04",
"last_updated": "2008-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "40787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.