DR. JOHN I KHOURY (NPI# 1285842468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285842468 |
| Entity Type | Individual |
| Full Name | DR. JOHN I KHOURY |
| Credential | M.D. |
| Practice Address |
370 N 120th Ave Holland MI 49424-2196 |
| Practice Telephone | 6163965855 |
| Practice Fax Number | 6163965720 |
| Mailing Telephone | 6163965855 |
| Mailing Fax Number | 6163965720 |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2017-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 4301081855 | MI | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | MD19196 | ME | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
4301081855 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750387106 | John Michael Khoury Jr. | Dentist | 1120 S Lapeer Rd, Suite 100, Oxford, MI 48371-6102 | 2005-06-21 |
| 1154801637 | John Khoury | Pharmacist | 32316 Grand River Ave, Farmington, MI 48336-3201 | 2018-08-15 |
| 1790190429 | John Khoury | Internal Medicine | 18000 Studebaker Rd Ste 800, Cerritos, CA 90703-2671 | 2014-06-20 |
| 1396991741 | John Khoury | Pediatrics | 2113 Adams Grv, Suite 110, Columbia, SC 29203-6951 | 2008-08-15 |
| 1255549713 | John Safa Khoury | Psychiatry & Neurology | 2325 Maryland Rd, Suite 120, Willow Grove, PA 19090-1749 | 2007-05-18 |
| Street Address |
370 N 120TH AVE |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424-2196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689662405 | Richard M Howell | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2005-10-06 |
| 1841669868 | Lee Majeski | Nurse Practitioner | 370 N 120th Ave, Holland, MI 49424-2196 | 2015-09-21 |
| 1154719144 | Brian Willie | Physician Assistant | 370 N 120th Ave, Holland, MI 49424-2196 | 2014-12-30 |
| 1316346752 | Elizabeth M Carlson | Physician Assistant | 370 N 120th Ave, Holland, MI 49424-2196 | 2014-08-21 |
| 1881995447 | Elizabeth R Otten | Physician Assistant | 370 N 120th Ave, Holland, MI 49424-2196 | 2010-11-12 |
| 1215166913 | John Swartz | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2009-07-02 |
| 1134361033 | Brian W. Paff | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2009-03-24 |
| 1073768917 | Bruce Andrew Stewart | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424 | 2008-11-19 |
| 1053561449 | Mark Edward Jacobson | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2008-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215999339 | Christopher N Zingas | Orthopaedic Surgery | 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186 | 2006-04-04 |
| 1952822132 | Damian Joseph Hilbert | Orthopaedic Surgery | 33155 Annapolis St, Wayne, MI 48184-2405 | 2017-06-28 |
| 1902218191 | Michael Swords, Do, Pllc | Orthopaedic Surgery | 2815 S Pennsylvania Ave, Suite 204, Lansing, MI 48910-3495 | 2014-05-22 |
| 1861752768 | Sean A. Matuszak Md PC | Orthopaedic Surgery | 1350 Kirts Blvd, Suite 160, Troy, MI 48084-4851 | 2012-05-24 |
| 1073834339 | Cameron Patthanacharoenphon | Orthopaedic Surgery | 350 Lafayette Ave Se, 4th Floor, Grand Rapids, MI 49503-4656 | 2010-06-21 |
| 1437374931 | Andrew Moore | Orthopaedic Surgery | 14650 E. Old Us Hwy 12, Suite 105, Chelsea, MI 48118 | 2007-04-17 |
| 1740382183 | Sjmh Medical Practice | Orthopaedic Surgery | 44555 Woodward Ave, Suite 105, Pontiac, MI 48341-5031 | 2006-09-05 |
| 1942224894 | Norman J Licht | Orthopaedic Surgery | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2006-07-26 |
| 1669422077 | John D Maskill | Orthopaedic Surgery | 1111 Leffingwell Ave Ne, Ste 100, Grand Rapids, MI 49525 | 2006-05-10 |
| 1972551836 | Robert M Mihalich | Orthopaedic Surgery | 2305 Genoa Business Park Dr, #170, Brighton, MI 48114-7004 | 2006-05-04 |
| Find all providers with the same taxonomy | ||||
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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.