Abdul H Abbass, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

35058622A Issued in OH

Practice address

6693 N Chestnut St
Suite 215
Ravenna, OH 44266-3922

Phone

(330) 297-9080

Fax

(330) 297-9077

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871664441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6693 N CHESTNUT ST",
            "address_2": "SUITE 215",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663922",
            "telephone_number": "330-297-9080",
            "fax_number": "330-297-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6693 N CHESTNUT ST",
            "address_2": "SUITE 215",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663922",
            "telephone_number": "330-297-9080",
            "fax_number": "330-297-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBASS",
        "first_name": "ABDUL",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35058622A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0731640",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Access to Independence
• Accordino Butch Chiropractic Center Inc
• Lindsay SRP Acomb, C.P.N.P

• Otolaryngology Physician in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Otolaryngology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.