Individual provider Active NPI

Seham Youssef El-Ibiary, M.D.

  • Internal Medicine Physician
  • Simpsonville, SC
National Provider Identifier
1871843862
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17707 Issued in SC
Practice address
105 Laurel Oak TRL
Simpsonville, SC 29681-4735
Phone
(864) 967-3601
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17707 SC Primary

Addresses

Primary practice location

105 Laurel Oak TRL
Simpsonville, SC 29681-4735

Mailing address

105 Laurel Oak TRL
Simpsonville, SC 29681-4735
Phone (864) 967-3601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17707SCMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1871843862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LAUREL OAK TRL",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814735",
            "telephone_number": "864-967-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LAUREL OAK TRL",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814735",
            "telephone_number": "864-967-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-IBIARY",
        "first_name": "SEHAM",
        "middle_name": "YOUSSEF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "17707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.