MRS. LILY E KHOURY (NPI# 1225065121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225065121 |
Entity Type | Individual |
Full Name | MRS. LILY E KHOURY |
Credential | MD |
Practice Address |
404 Huttleston Ave Fairhaven MA 02719 |
Practice Telephone | 5089969333 |
Practice Fax Number | 5089963443 |
Mailing Telephone | 5089969333 |
Mailing Fax Number | 5089963443 |
Enumeration Date | 2006-06-27 |
Last Update Date | 2013-01-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 36346 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 2023008 | 05 | |
MA | 9785302 | 05 |
Street Address |
404 HUTTLESTON AVE |
City | FAIRHAVEN |
State | MA |
Zip Code | 02719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124000393 | Charles Pierre Khoury | Dentist | 404 Huttleston Ave, 1st Floor, Fairhaven, MA 02719-5630 | 2005-11-15 |
1043427230 | Marion Pediatrics, P.C. | Pediatrics | 404 Huttleston Ave, Fairhaven, MA 02719-5630 | 2007-05-17 |
1043309941 | Charles Khoury, Dmd, Inc. | Clinic/Center | 404 Huttleston Ave, 1st Floor, Fairhaven, MA 02719 | 2006-10-11 |
1447341581 | Anna A Ward | Pediatrics | 404 Huttleston Ave, Fairhaven, MA 02719 | 2006-09-27 |
1205851540 | Cynthia Louise Fox | Pediatrics | 404 Huttleston Ave, Fairhaven, MA 02719-5630 | 2006-07-13 |
1942287677 | Saba Adel Shamoon-michaud | Pediatrics | 404 Huttleston Ave, Fairhaven, MA 02719-5630 | 2005-12-22 |
1992780167 | Vanda Blinn | Pediatrics | 404 Huttleston Ave, Fairhaven, MA 02719-5630 | 2005-12-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457589772 | David Paul Patterson | Nurse Practitioner | 271 Alden Rd, Fairhaven, MA 02719 | 2009-06-25 |
1245415983 | Carol Ann Reeve | Social Worker | 21 Nelson Ave, Fairhaven, MA 02719 | 2007-12-31 |
1194842716 | Cathleen Lacy | Physical Therapist | 333 Bridge St, Fairhaven, MA 02719 | 2007-03-26 |
1700903978 | Barbara Ann Acksen | Psychologist | 91 Green Street, Fairhaven, MA 02719 | 2007-03-23 |
1811023260 | Merolla Chiropractic Inc | Chiropractor | 73 Alden Rd, Fairhaven, MA 02719 | 2007-02-27 |
1982746442 | Michele E Merolla | Chiropractor | 73 Aiden Rd, Fairhaven, MA 02719 | 2007-02-13 |
1417016338 | Brian K Bowcock | Chiropractor | 84 Huttleston Avenue, Fairhaven, MA 02719 | 2006-12-06 |
1104937697 | Southcoast Visiting Nurse Association. Inc | Home Health | 200 Mill Road, Suite 120, Fairhaven, MA 02719 | 2006-08-31 |
1902817299 | 184 Main LLC | Skilled Nursing Facility | 184 Main Street, Fairhaven, MA 02719 | 2006-08-11 |
1821584103 | Smiley Dental Care Pllc | Clinic/Center | 17 Berdon Way, Fairheaven, MA 02719 | 2018-07-10 |
Find all providers in zip 02719 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043427230 | Marion Pediatrics, P.C. | Pediatrics | 404 Huttleston Ave, Fairhaven, MA 02719-5630 | 2007-05-17 |
1447341581 | Anna A Ward | Pediatrics | 404 Huttleston Ave, Fairhaven, MA 02719 | 2006-09-27 |
1205851540 | Cynthia Louise Fox | Pediatrics | 404 Huttleston Ave, Fairhaven, MA 02719-5630 | 2006-07-13 |
1942287677 | Saba Adel Shamoon-michaud | Pediatrics | 404 Huttleston Ave, Fairhaven, MA 02719-5630 | 2005-12-22 |
1992780167 | Vanda Blinn | Pediatrics | 404 Huttleston Ave, Fairhaven, MA 02719-5630 | 2005-12-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265030720 | Mebe Massachusetts | Pediatrics | 51 Pleasant St # 1002, Malden, MA 02148-4904 | 2020-10-15 |
1801407564 | Catherine M. Vu Morrissey | Pediatrics | 451 Centre St, Milton, MA 02186-4118 | 2020-08-14 |
1962025379 | Elizabeth Mary Messineo | Pediatrics | 40 Greenhill Rd, Westwood, MA 02090-2704 | 2020-05-20 |
1639790280 | Allison Seats | Pediatrics | 265 Hyde Park Ave Apt 1rf, Boston, MA 02130-4222 | 2020-05-05 |
1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
1346871183 | Pm Pediatrics of New England | Pediatrics | 99 Commerce Way, Woburn, MA 01801-5199 | 2020-01-30 |
1346871381 | Heather Mccaslin Kempczinski | Pediatrics | 360 Beacon St Apt 1, Boston, MA 02116-1063 | 2020-01-29 |
1396388278 | Taylor Cinelli | Pediatrics | 203 John Scott Blvd, Norton, MA 02766-2616 | 2019-10-23 |
1972145290 | Lauren Nicole Mabe | Pediatrics | 45 Gordon St Apt 3, Allston, MA 02134-2458 | 2019-10-09 |
1417508946 | Devin Veronica Parker | Pediatrics | 2 Crescent St, Plympton, MA 02367-1400 | 2019-09-25 |
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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.