Active NPI
Nabil M. Jabbour, M.D.
- Ophthalmology Physician
- Morgantown, WV
National Provider Identifier
1891770525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- WV14244
- Practice address
- 3120 Collins Ferry Rd
Morgantown, WV 26505-3305 - Phone
- (304) 599-2733
- Fax
- (304) 599-4428
- NPI assigned
- Dec 15, 2005
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | WV14244 | WV | Primary |
Addresses
Primary practice location
3120 Collins Ferry Rd
Morgantown, WV 26505-3305
Mailing address
3120 Collins Ferry Rd
Morgantown, WV 26505-3305
Phone (304) 599-2733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0096976000 | Medicaid | WV |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV14244 | WV | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1891770525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 COLLINS FERRY RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053305",
"telephone_number": "304-599-2733",
"fax_number": "304-599-4428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 COLLINS FERRY RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053305",
"telephone_number": "304-599-2733",
"fax_number": "304-599-4428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABBOUR",
"first_name": "NABIL",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WV",
"license": "WV14244",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0096976000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.