Ghassan Abuhamad, MD
Individual provider Active NPI Vascular Surgery Physician · Columbia, SC
NPI 1972575298 · NPPES record last updated Sep 20, 2022
Key facts
- NPI
- 1972575298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- 87845 (SC)
- Practice address
- 3 Richland Medical Park Dr Ste 330
Columbia, SC 29203-6862 - Phone
- (803) 434-7100
- Fax
- (803) 434-6889
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Vascular Surgery
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kern County Hospital Authority
Practice addresses (Care Compare)
3551 Q St
Bakersfield, CA 93301-1657
Phone (661) 326-2000
Hospital & facility affiliations
- Kern Medical Center
- Natividad Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050713000169 | PA | Practitioner - Vascular Surgery |
7315973187 | Reassigns benefits to 4 organizations |
| I20220810001011 | CA | Practitioner - Vascular Surgery | 7315973187 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87845 | SC | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Upmc Altoona Regional Health Services, Inc | Current | Accepting new patients | |
| Dubois Regional Medical Center | Current |
Accepting new patients | |
| Kern County Hospital Authority | Current |
Accepting new patients | |
| Susquehanna Physician Services | Vascular Surgery | Current |
Accepting new patients |
| Wellspan Medical Group | Current |
Accepting new patients | |
| Susquehanna Physician Services | Current |
Accepting new patients | |
| Wellspan Medical Group | Current |
Accepting new patients | |
| Dubois Regional Medical Center | Current |
Accepting new patients | |
| Upmc Altoona Regional Health Services, Inc | Current |
Accepting new patients | |
| Kern County Hospital Authority | Current |
Accepting new patients | |
| West Penn Allegheny Health System Inc. | Past | Accepting new patients |
Locations
3551 Q St
Ste 100
Bakersfield, CA 93301
Phone (661) 327-3747
3551 Q St
Bakersfield, CA 93301
Phone (661) 862-8262
1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000
1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621
100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040
100 Hospital Ave
Ofc
Dubois, PA 15801
320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131
300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850
1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723
740 High St
Ste 3001
Williamsport, PA 17701
Phone (570) 321-2805
700 High St
Williamsport, PA 17701
Phone (570) 321-1000
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
30 Monument Rd
Ste 1100
York, PA 17403
Phone (717) 851-2441
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
25 Monument Rd
Ste 190
York, PA 17403
Phone (717) 741-8011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD423676 | PA | |
| Vascular Surgery Physician | 2086S0129X | MD423676 | PA | |
| Vascular Surgery Physician | 2086S0129X | 87845 | SC | Yes |
Addresses
Primary practice location
3 Richland Medical Park Dr Ste 330
Columbia, SC 29203-6862
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-6454
Other practice location 1
30 Monument Road
Suite 1100
York, PA 17403-5024
Phone (717) 851-6454
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101362464 | Medicaid | PA | |
| 2595991 | Medicaid | OH |
Other providers in Columbia, SC
- Absolute Home Care, LLC
- Absolute Joy Home Care
- Absolute Total Care, Inc.
- Nour Abu Abdo
- Mohammad Abudalou
- Abundance Life Healthcare LLC
- Abundant Care Case Management LLC
- Abundant Home Care Solutions LLC
- Acanesthesia
- Access Health Care Services Inc.
All providers in Columbia, SC · Vascular Surgery Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.