Active NPI
Hasan Ebeid
- Pediatrics Physician
- Panama City, FL
National Provider Identifier
1861606394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME111582
- Practice address
- 2202 State Ave
Suite 302
Panama City, FL 32405-7601 - Phone
- (850) 785-0321
- Fax
- (850) 784-9955
- NPI assigned
- May 10, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME111582 | FL | Primary |
Addresses
Primary practice location
2202 State Ave
Suite 302
Panama City, FL 32405-7601
Mailing address
2202 State Ave
Suite 302
Panama City, FL 32405-7601
Phone (850) 785-0321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004331700 | Medicaid | FL |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME111582 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samir M. Ebeid | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Panama City, FL
- NPI 1932477023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415318400000",
"number": "1861606394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 STATE AVE",
"address_2": "SUITE 302",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324057601",
"telephone_number": "850-785-0321",
"fax_number": "850-784-9955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 STATE AVE",
"address_2": "SUITE 302",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324057601",
"telephone_number": "850-785-0321",
"fax_number": "850-784-9955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBEID",
"first_name": "HASAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2014-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME111582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004331700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.