NPIMap

Organization Active NPI

American Pharaoh Health Care, LLC

  • Internal Medicine Physician
  • Alliance, OH
National Provider Identifier
1861173049
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AMERICAN PHARAOH HEALTH CARE, LLC
Practice address
120 E State Street
Alliance, OH 44601
Phone
(330) 596-7940
NPI assigned
Jul 31, 2023
Last updated
Apr 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Dr. Gamal El-Mobasher, MDNPI 1851394076
Title
Partner
Phone
(330) 257-5897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

120 E State Street
Alliance, OH 44601

Mailing address

P O Box 156
Deerfield, OH 44411-0156
Phone (330) 257-5897

Other practice location 1

1320 Mercy Drive NW
Canton, OH 44708
Phone (330) 588-4694

Other practice location 2

2600 6th St SW
Canton, OH 44710

Other identifiers 1

IdentifierTypeStateIssuer
0031421MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240611002049 OH Part B Supplier - Clinic/Group Practice 5991247579 Receives reassigned benefits from 2 practitioners
Practice locations: Alliance, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1861173049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 156",
            "city": "DEERFIELD",
            "state": "OH",
            "postal_code": "444110156",
            "telephone_number": "330-257-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E STATE STREET",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "44601",
            "telephone_number": "330-596-7940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Mercy Drive NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "44708",
            "country_code": "US",
            "telephone_number": "330-588-4694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 6th St SW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "44710",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMERICAN PHARAOH HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "EL-MOBASHER",
        "authorized_official_first_name": "GAMAL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "330-257-5897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031421",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.