Samir M. Ebeid

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0046120 Issued in FL

Legal business name

SAMIR M. EBEID

Practice address

2202 State Ave Ste 302
Panama City, FL 32405

Phone

(850) 785-0321

Fax

(850) 784-9955

NPI assigned

Dec 5, 2011

Last updated

Dec 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Samir Masan Ebeid, MD

Title

President

Phone

(850) 785-0321

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hasan Ebeid

  • Pediatrics Physician
  • Panama City, FL
  • NPI 1861606394
  NPD (past)
• Samir Hasan Ebeid, MD

  • Pediatrics Physician
  • Panama City, FL
  • NPI 1871695429
  NPD (past)

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1932477023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE STE 302",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32405",
            "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 STE 302",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32405",
            "telephone_number": "850-785-0321",
            "fax_number": "850-784-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMIR M. EBEID",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "EBEID",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "MASAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-785-0321",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0046120",
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": "ME0046120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040815800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marta Mauney Salter, NP-C
• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC (Pediatric Associates)
• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC
• Christopher K Salvino, MD
• Sam's Club Optical (Sam's Club Optical 30-8151)
• Sams East Inc (Sams Pharmacy 10-8151)
• Michael A Samuels, MD
• Pola Sanchez-Baker, LMHC
• Angelo Luis Sanchez Jr., IDC
• Billie Jo Sanders Johnson, LMHC

• Pediatrics Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.