Provider Demographics
NPI:1881670594
Name:SEMAAN, ANTHONY H (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:H
Last Name:SEMAAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HUSAM
Other - Middle Name:B
Other - Last Name:SEMAAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 119
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45802-0119
Mailing Address - Country:US
Mailing Address - Phone:419-224-5707
Mailing Address - Fax:419-223-2726
Practice Address - Street 1:1600 E RIVERVIEW AVE
Practice Address - Street 2:
Practice Address - City:NAPOLEON
Practice Address - State:OH
Practice Address - Zip Code:43545-9805
Practice Address - Country:US
Practice Address - Phone:419-592-4015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-15
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0056207207R00000X
OH350927152085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0092639Medicaid