Luna I Khadour (NPI# 1114925922, PAC ID# 2365508405) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114925922 |
| PAC ID by PECOS | 2365508405 |
| Professional Enrollment ID | I20090225000638 |
| Full Name | Luna I Khadour |
| Organization Legal Name | MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC |
| Address |
12276 San Jose Blvd Suite 401 Jacksonville FL 32223-8660 |
| Phone Number | 9042685561 |
| Gender | F |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8820003411 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| 100179 | MEMORIAL HOSPITAL JACKSONVILLE |
| 100226 | ORANGE PARK MEDICAL CENTER |
| 100001 | SHANDS JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 12276 San Jose Blvd, Suite 401, Jacksonville, FL 32223-8660 | 9042685561 | MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Kashmer | General Surgery | Memorial Family Practice Associates, LLC | 4711 Hwy 17 S, Suite B1, Orange Park, FL 32003-8251 |
| Elizabeth Jahjah | Nurse Practitioner | Memorial Family Practice Associates, LLC | 1205 Monument Rd, Suite 203, Jacksonville, FL 32225-6482 |
| Lateya Foxx | Neuropsychiatry | Memorial Family Practice Associates, LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Aino E Mueller | Family Medicine | Memorial Family Practice Associates, LLC | 2755 Blanding Blvd, Suite 109, Middleburg, FL 32068-5629 |
| Denver D Nutter | Family Medicine | Memorial Family Practice Associates, LLC | 6111 Beach Blvd, Jacksonville, FL 32216-2751 |
| Jaya L Krishna | Family Medicine | Memorial Family Practice Associates, LLC | 8837 Goodbys Executive Dr, Jacksonville, FL 32217-4605 |
| Jack E Giddings | Family Medicine | Memorial Family Practice Associates, LLC | 1731 University Blvd S, Jacksonville, FL 32216-8928 |
| Angel J Torres | Physician Assistant | Memorial Family Practice Associates, LLC | 1594 Kingsley Ave, Orange Park, FL 32073-4546 |
| John D Deperi | General Surgery | Memorial Family Practice Associates, LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Janet F Underkofler | Physician Assistant | Memorial Family Practice Associates, LLC | 4689 Hwy 17, Suite 14, Fleming Island, FL 32003-4831 |
| Street Address |
12276 SAN JOSE BLVD SUITE 401 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32223-8660 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie Anne Staverman | Qualified Audiologist | 12276 San Jose Blvd, Suite 710, Jacksonville, FL 32223-8674 | |
| Thuraia T Owais | Chiropractic | 12276 San Jose Blvd, Suite 512, Jacksonville, FL 32223-8618 | |
| Belinda Kirkland | Physical Therapy | Jacksonville Orthopaedic Institute Inc | 12276 San Jose Blvd, Suite 716 and 717, Jacksonville, FL 32223-8628 |
| Dana M Harrington | Nurse Practitioner | Fountain Family Medicine Pa | 12276 San Jose Blvd, Unit 617, Jacksonville, FL 32223-8672 |
| Jared S. Ernest | Physical Therapy | Jacksonville Orthopaedic Institute Inc | 12276 San Jose Blvd, Suite 716 and 717, Jacksonville, FL 32223-8628 |
| Efstratios D Lagoutaris | Podiatry | Podiatry Associates of Florida Inc | 12276 San Jose Blvd, Suite 606, Jacksonville, FL 32223-8672 |
| Todd C Lewis | Cardiovascular Disease (cardiology) | Drs Baker and Gilmour Md Pa | 12276 San Jose Blvd, Suite 617, Jacksonville, FL 32223-8672 |
| Amanda M Garland | Physical Therapy | Jacksonville Orthopaedic Institute Inc | 12276 San Jose Blvd, Suite 716 and 717, Jacksonville, FL 32223-8628 |
| Rodney A Marcom | Osteopathic Manipulative Medicine | 12276 San Jose Blvd, Suite 210, Jacksonville, FL 32223-8631 | |
| Teri L Tyer | Physician Assistant | Fountain Family Medicine Pa | 12276 San Jose Blvd, Unit 617, Jacksonville, FL 32223-8672 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Watts | Optometry | Stephen M Pullen Pa | 11945 San Jose Blvd, Suite 202, Jacksonville, FL 32223-1612 |
| Brett D O'connor | Optometry | Stephen M Pullen Pa | 11945 San Jose Blvd, Suite 202, Jacksonville, FL 32223-1612 |
| Steve M Pullen | Optometry | Stephen M Pullen Pa | 11945 San Jose Blvd, Suite 202, Jacksonville, FL 32223-1612 |
| Nikkita L Wilkes | Obstetrics/gynecology | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
| Todd J Rasner | Obstetrics/gynecology | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
| Mitzi C Brock | Obstetrics/gynecology | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
| Sirlys Arcon Rios | Endocrinology | Baptist Primary Care Inc | 11945 San Jose Blvd, Suite 301, Jacksonville, FL 32223-1627 |
| Natasha Guerra Farrow | Nurse Practitioner | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
| Lananh Ly | Nurse Practitioner | Baptist Primary Care Inc | 11945 San Jose Blvd, Suite 301, Jacksonville, FL 32223-1627 |
| Melissa A Morgan | Endocrinology | Baptist Primary Care Inc | 11945 San Jose Blvd, Suite 301, Jacksonville, FL 32223-1627 |
| Find all physicians in zip 32223 | |||
| City | JACKSONVILLE |
| Zip Code | 32223 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JACKSONVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Luna I Khadour.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.