Individual provider Active NPI

Tarig Hamdan Youssif

  • Non-emergency Medical Transport (VAN)
  • Reynoldsburg, OH
National Provider Identifier
1962794081
Registry record updated May 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
3122721 Issued in OH
Practice address
7093 Shawnee Way
Reynoldsburg, OH 43068-5126
Phone
(614) 962-1777
NPI assigned
May 8, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 3122721 OH Primary

Addresses

Primary practice location

7093 Shawnee Way
Reynoldsburg, OH 43068-5126

Mailing address

7093 Shawnee Way
Reynoldsburg, OH 43068-5126
Phone (614) 962-1777

Other identifiers 1

IdentifierTypeStateIssuer
3122721MedicaidOH

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3122721OHMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1304812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304812800000",
    "number": "1962794081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7093 SHAWNEE WAY",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430685126",
            "telephone_number": "614-962-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7093 SHAWNEE WAY",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430685126",
            "telephone_number": "614-962-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSSIF",
        "first_name": "TARIG",
        "middle_name": "HAMDAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-08",
        "last_updated": "2011-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "3122721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3122721",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.