DR. BOUTROS MICHEL GHASSIBI MD
NPI 1184723819
Family Medicine - Sports Medicine in Lawrence, MA

Q: What is Boutros Ghassibi's NPI number?

The NPI number for Boutros Ghassibi is 1184723819. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Q: What is Boutros Ghassibi's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Boutros Ghassibi was last updated on November 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 21, 2006

34 HAVERHILL ST, LAWRENCE, MA 01841(978) 686-0090(978) 681-5963 Get Directions Write a Review

NPPES record last updated: November 9, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Boutros Michel Ghassibi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BOUTROS MICHEL GHASSIBI MD (NPI 1184723819) is an individual sports medicine provider in Lawrence, Massachusetts, licensed in Massachusetts (72138) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1184723819

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. BOUTROS MICHEL GHASSIBICredential: MD

Location Address34 HAVERHILL STLawrence, MA 01841-2884

Mailing Address34 Haverhill StLawrence, MA 01841-2884 · (978) 686-0090 · Fax (978) 681-5963

Phone(978) 686-0090

Fax(978) 681-5963

Sole ProprietorYes

Enumeration DateSeptember 21, 2006

Last NPPES UpdateNovember 9, 2017

✔ NPI 1184723819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in MA · 72138

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 72138 (MA)

34 HAVERHILL ST, Lawrence, MA 01841

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Other Identifiers 2

Medicare UPINE39900MA

Medicaid3166724MA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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