Hisham M. Shawish, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD439870 Issued in PA

Practice address

650 East Ave
Erie, PA 16503-1524

Phone

(814) 455-5505

Fax

(814) 455-5515

NPI assigned

Jun 1, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982806014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "814-455-5505",
            "fax_number": "814-455-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 EAST AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165031524",
            "telephone_number": "814-455-5505",
            "fax_number": "814-455-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWISH",
        "first_name": "HISHAM",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD439870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087455",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102481835",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rubal Sharma, M.D.
• Sanyam Sharma, M.D.
• Sukh D Sharma, MD
• Janna R Shaw, CRNP
• Rosemarie Ann Shaw, DMD
• Felicia Sheesley, DO, MMS
• Joshua Abraham Shekhtman, MD
• Jodie L Sheldon, LPN
• Kathleen Adelaide Shelly, LCSW
• Jessica Ann Shepherd, B.S.

• Family Medicine Physician in Erie, PA
• Providers in Erie, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.