Fawzi P Habboushe, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD304692L Issued in PA

Practice address

Pepper Pavilion Ste 1100
One Graduate Plaza
Phila, PA 19146

Phone

(215) 735-4223

Fax

(215) 735-3704

NPI assigned

Jun 21, 2006

Last updated

Oct 12, 2007By the provider in NPPES

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 10

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christa Habboushe, MD, LLC

  • Family Medicine Physician
  • Phila, PA
  • NPI 1053418293
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1881630432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PEPPER PAVILION STE 1100",
            "address_2": "ONE GRADUATE PLAZA",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19146",
            "telephone_number": "215-735-4223",
            "fax_number": "215-735-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PEPPER PAVILION STE 1100",
            "address_2": "ONE GRADUATE PLAZA",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19146",
            "telephone_number": "215-735-4223",
            "fax_number": "215-735-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABBOUSHE",
        "first_name": "FAWZI",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD304692L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0072520401",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "049958",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "163775",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007252040005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "32169",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6295282001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HPE",
            "identifier": "0052113000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072520401",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "07545",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENIOR PARTNERS",
            "identifier": "07545",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Karen Grossberg, MSS, LSW
• Joseph William Grugan, PTA
• Robert Ernest Gugger Jr., DDS
• Doray Ibrahim Gurkaynak, O.D.
• Allen B Haas, MD
• Tiffany M Hairston-Lindsey
• Hall-Mercer CMH-MRC of PA
• Hall-Mercer CMH-MRC of PA Hosp
• Hall-Mercer CMH-MRH
• Marcia L Halpern, MD

• Surgery Physician in Phila, PA
• Providers in Phila, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.