Physician Compare National (NPI:1861566119)

HEALTHCARE PROVIDER: ISSAM AFIF HALABY M.D.,PH.D.

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

Individual Professional Information
NPI	1861566119
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5092731273
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20051017001006
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HALABY
	Individual professional last name
Provider First Name	ISSAM
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SURGICAL ASSOCIATES OF VENICE AND ENGLEWOOD PA
	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	3274422191
	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	5
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	436 NOKOMIS S AVE
	Group Practice or individual's line 1 address
City	VENICE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	342852617
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9414887742
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100070
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	VENICE REGIONAL BAYFRONT HEALTH
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100166
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	DOCTORS HOSPITAL OF SARASOTA
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y