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BOUSAMRA MEDICAL, LLC
NPI 1609265743
Internal Medicine - Cardiovascular Disease in Jeannette, PA

Active since January 13, 2015
1111 LOWRY AVE BLDG A, JEANNETTE, PA 15644(724) 374-5920(724) 374-5873 Get Directions Write a Review

NPPES record last updated: January 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bousamra Medical, Llc NPPES

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

BOUSAMRA MEDICAL, LLC (NPI 1609265743) is a healthcare organization registered as a cardiovascular disease in Jeannette, Pennsylvania and active in the NPI registry since January 2015. The organization lists George R Bousamra, Owner, as its authorized official.

NPPES Registry Identity

NPI1609265743
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameBOUSAMRA MEDICAL, LLC
Location Address1111 LOWRY AVE BLDG AJeannette, PA 15644-3063
Mailing Address1111 Lowry Ave Bldg AJeannette, PA 15644-3063 · (724) 374-5920 · Fax (724) 374-5873
Phone(724) 374-5920
Fax(724) 374-5873
Organization SubpartNo
Authorized OfficialGeorge R BousamraOwner · (724) 374-5920
Enumeration DateJanuary 13, 2015
✔ NPI 1609265743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in PA · MD067949L
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1111 LOWRY AVE BLDG A, Jeannette, PA 15644
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Other Identifiers 3

Medicaid0017515030010PA
Medicare UPING25886
Medicare PIN025444K88

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bousamra Medical, LLC's NPI number?

The NPI number for Bousamra Medical, LLC is 1609265743. It was assigned to this organization in the NPPES registry on January 13, 2015.

Where is Bousamra Medical, LLC located?

Bousamra Medical, LLC is located at 1111 Lowry Ave Bldg A, Jeannette, PA 15644. The listed phone number is (724) 374-5920.

What is Bousamra Medical, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Bousamra Medical, LLC was last updated on January 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.