KHOURY SURGICAL GROUP, INC. (NPI# 1164572699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164572699 |
| Entity Type | Organization |
| Organization Name | KHOURY SURGICAL GROUP, INC. |
| Practice Address |
20 Medical Park Suite 203 Wheeling WV 26003-6390 |
| 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 | 2007-01-10 |
| Last Update Date | 2007-10-18 |
| Authorized Official Name | DR. 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 | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810003359 | 05 | |
| OH | 0492766 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104025972 | Khoury Surgical Group, Inc. | Radiology | 51339 National Rd, Saint Clairsville, OH 43950-9119 | 2007-07-12 |
| Street Address |
20 MEDICAL PARK SUITE 203 |
| City | WHEELING |
| State | WV |
| Zip Code | 26003-6390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680793 | Larry A Dodd | Otolaryngology | 20 Medical Park, Suite 223, Wheeling, WV 26003-6390 | 2005-06-23 |
| 1306470216 | Amy Elizabeth Patrick | Nurse Practitioner | 20 Medical Park, Suite 102, Wheeling, WV 26003 | 2020-02-29 |
| 1215311527 | Clint Shepard | Physician Assistant | 20 Medical Park, Suite 306, Wheeling, WV 26003-6390 | 2015-07-16 |
| 1386064723 | William S Przybysz IIi | Family Medicine | 20 Medical Park, Suite 301, Wheeling, WV 26003 | 2014-04-24 |
| 1336405851 | Danielle Nicole Rosen | Nurse Practitioner | 20 Medical Park, Suite 102, Wheeling, WV 26003-1344 | 2012-04-10 |
| 1598980682 | Bradley Adam Schmitt | Family Medicine | 20 Medical Park, Suite 306, Wheeling, WV 26003-6390 | 2007-04-16 |
| 1699825158 | Rajai T Khoury | Surgery | 20 Medical Park, Suite 203, Wheeling, WV 26003-6390 | 2007-01-10 |
| 1750431227 | Melissa B Grover | Physician Assistant | 20 Medical Park, Suite 203, Wheeling, WV 26003-6390 | 2007-01-10 |
| 1770511214 | Valley Urology, L.L.C. | Urology | 20 Medical Park, Suite 201, Wheeling, WV 26003-6390 | 2006-06-30 |
| 1144283086 | Byron L Vanpelt | Internal Medicine | 20 Medical Park, Ste 303, Wheeling, WV 26003-6390 | 2006-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070538 | Ashley Lynn Fleming | Case Manager/Care Coordinator | 442 Woodland Acres Rd, Wheeling, WV 26003 | 2020-10-13 |
| 1982202057 | Tiffany Renee Beck | Behavioral Analyst | 1007 Market Street, Wheeling, WV 26003 | 2020-10-12 |
| 1922620426 | Abbey Lynne Griffith | Speech-Language Pathologist | 199 Co Rd 7/7, Jane Lew, WV 26003 | 2020-05-07 |
| 1801309414 | Amy Wade | Counselor | 2204 Eoff Street, Wheeling, WV 26003 | 2017-11-06 |
| 1053840157 | Syl Solution Marketing | Durable Medical Equipment & Medical Supplies | 800 Hazlett Ave, Wheeling, WV 26003 | 2017-06-12 |
| 1568917334 | Hamed M Motlagh | Dentist | 53 14th St Ste 208, Wheeling, WV 26003 | 2016-08-22 |
| 1922454446 | Carrie Ann Warman | Pharmacist | 200 Mt.dechantal Road, Wheeling, WV 26003 | 2016-05-13 |
| 1447636691 | Ashley M Zando | Nurse Anesthetist, Certified Registered | 109 Mt Wood Road, Wheeling, WV 26003 | 2015-08-10 |
| 1194126441 | John Greaves | Specialist/Technologist | 135 Springdale Ave, Wheeling, WV 26003 | 2014-09-05 |
| 1154747210 | Donald Lee Rebich | Pharmacist | 61-29th Street, Wheeling, WV 26003 | 2014-03-13 |
| Find all providers in zip 26003 | ||||
| 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 |
|---|---|---|---|---|
| 1790792398 | Victor Maevsky | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1021 Mount Dechantal Road, Wheeling, WV 26003-6328 | 2006-08-03 |
| 1497111413 | Wheeling Hospital, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1021 Mt Dechantal Road, Wheeling, WV 26003-6328 | 2016-01-06 |
| 1982880522 | Rosemarie Elizabeth Hardin | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Park, Suite 704, Wheeling, WV 26003-6379 | 2008-01-14 |
| 1710963491 | David M Haybron | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Medical Park, Suite 101, Wheeling, WV 26003 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265713259 | Gilbert Leo Hendricks Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2557 River Road, Shepherdstown, WV 25443-2009 | 2011-09-02 |
| 1053445981 | Greenbrier Vmc LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 18 Red Oaks Shopping Ctr, Ronceverte, WV 24970-1348 | 2007-03-15 |
| 1629162342 | Jose Cruzzavala | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 600 18th Street, Suite 201, Parkersburg, WV 26101 | 2006-10-03 |
| 1134132418 | Edmundo E. Figueroa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 415 Morris St Ste 301, Charleston, WV 25301-1853 | 2006-08-15 |
| 1639145196 | Ramanathan Sampath | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3100 Maccorkle Avenue Se, Suite 904, Charleston, WV 25304 | 2006-02-24 |
| 1669097010 | Jenna Lee Shumar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-06-11 |
| 1528616562 | Seyfi Alper Toker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2019-09-03 |
| 1235491176 | Integrated Health Care Providers, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3100 Maccorkle Ave Se, Suite 301, Charleston, WV 25304-1223 | 2012-06-15 |
| 1356571277 | Kee C. Lee, M.d., P.l.l.c. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2345 Chesterfield Ave, Suite 200, Charleston, WV 25304-1062 | 2009-07-27 |
| 1053545806 | H Adam Ubert | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3100 Maccorkle Ave Se, Ste 301, Charleston, WV 25304-1229 | 2009-05-07 |
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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.