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Physician Compare National (NPI:1497174478)

HEALTHCARE PROVIDER: JOHN SAMI MAAROUF D.O

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1497174478
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1658679972
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20180412002244
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MAAROUF
Individual professional last name
Provider First Name JOHN
Individual professional first name
Provider Middle Name S
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Individual professional's medical school
Graduation Year 2014
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 OSTEOPATHIC MANIPULATIVE MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2 SPORTS MEDICINE
Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties OSTEOPATHIC MANIPULATIVE MEDICINE, SPORTS MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name SPEARHEAD HEALTHCARE INC.
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 4183975279
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 6
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 5812 HOLLYWOOD BLVD
Group Practice or individual's line 1 address
City HOLLYWOOD
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 330216316
Group Practice or individual's zip code (9 digits when available)
Phone Number 9549819111
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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