KHOURY SURGICAL GROUP, INC. (NPI# 1104025972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104025972 |
| Entity Type | Organization |
| Organization Name | KHOURY SURGICAL GROUP, INC. |
| Other Organization Name | VASCULAR LAB |
| Practice Address |
51339 National Rd Saint Clairsville OH 43950-9119 |
| Mailing Address |
Po Box 6780 Wheeling WV 26003-0918 |
| Practice Telephone | 3042332455 |
| Practice Fax Number | 3042336073 |
| Mailing Telephone | 3042332455 |
| Mailing Fax Number | 3042336073 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |
| Authorized Official Name | RAJAI T KHOURY (PRESIDENT) |
| Authorized Official Telephone | 3042332455 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Vascular Lab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164572699 | Khoury Surgical Group, Inc. | Surgery | 20 Medical Park, Suite 203, Wheeling, WV 26003-6390 | 2007-01-10 |
| Street Address |
51339 NATIONAL RD |
| City | SAINT CLAIRSVILLE |
| State | OH |
| Zip Code | 43950-9119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174905624 | Joseph M. Bannon II | Family Medicine | 51339 National Rd, Saint Clairsville, OH 43950 | 2015-06-22 |
| 1720308208 | Womens Health Specialists of Wheeling Hospital LLC | Obstetrics & Gynecology | 51339 National Rd, Saint Clairsville, OH 43950-9119 | 2010-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212450 | Sharon Jackson | In Home Supportive Care | 52410 Summit Avenue, St. Clairsville, OH 43950 | 2020-10-16 |
| 1326657891 | Taylor Gorby | Behavior Technician | 1 Halloran Dr, St. Clairsville, OH 43950 | 2020-07-30 |
| 1023627247 | Madison Emery | Behavior Technician | 1 Holloran Drive, St Clairsville, OH 43950 | 2020-07-23 |
| 1821633439 | Jerri Mccombs | Clinical Nurse Specialist | 71200and1/2 Kagg Hill Rd, St Clairsville, OH 43950 | 2019-11-07 |
| 1053978817 | Mariah Lynn Hamilton | Behavior Technician | 1 Halloran Lane, St. Clairsville, OH 43950 | 2019-05-28 |
| 1083184717 | Maria Suzanne Shane | Behavior Technician | 1 Halloran Ln, Saint Clairsville, OH 43950 | 2018-11-26 |
| 1023592201 | Natisha Janelle Greathouse | Behavior Technician | 1 Halloran Park Lane, St Clairsville, OH 43950 | 2018-09-24 |
| 1285111039 | Bethany A Dawson | Dietitian, Registered | 66670 Anna Dr, Saint Clairsville, OH 43950 | 2018-07-24 |
| 1073004776 | Marsha M Woods | Social Worker | 67925 Bayberry Drive, Suite A, St. Clairsville, OH 43950 | 2018-05-29 |
| 1104314657 | Jorja L Johnson | Case Manager/Care Coordinator | 67925 Bayberry Dr Ste 700, Saint Clairsville, OH 43950 | 2018-04-30 |
| Find all providers in zip 43950 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003371188 | Christina Marie Babbs | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 48 Executive Dr Ste C, Norwalk, OH 44857-2492 | 2019-02-04 |
| 1265911234 | Andres Jadue | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3312 Aberdeen Rd, Shaker Heights, OH 44120-3328 | 2018-08-10 |
| 1598259863 | Bhalinder Dhaliwal | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Cleveland Clinic 9500, Euclid Avenue/na-23, Cleveland, OH 44195-0001 | 2018-06-19 |
| 1205348307 | Antonio Panza | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Department of Surgery 231 Albert Sabin Way, Cincinnati, OH 45267-0001 | 2017-10-30 |
| 1366972432 | Per Wierup | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9500 Euclid Ave # Deskj4-1, Cleveland, OH 44195-0001 | 2017-06-12 |
| 1952776247 | Hani Kamal Najm | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9500 Euclid Ave # M41-02, Cleveland, OH 44195-0001 | 2015-12-11 |
| 1205202967 | Anurag Kaw | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27020 Cedar Rd Apt 406, Beachwood, OH 44122-1133 | 2015-08-18 |
| 1760872659 | John Albers | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 16 Diplomat Dr, Cincinnati, OH 45215-2073 | 2015-01-29 |
| 1508205048 | Shrey Patel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9500 Euclid Ave Ste J4-1, Cleveland, OH 44195-1994 | 2013-06-18 |
| 1457797847 | Charles D. Shook | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 718 Glendale Blvd, Mansfield, OH 44907-2226 | 2013-05-13 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIRSVILLE |
| Zip Code | 43950 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.