ANTOINE E KHOURY (NPI# 1275704611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275704611 |
Entity Type | Individual |
Full Name | ANTOINE E KHOURY |
Credential | MD |
Practice Address |
505 S Main St Ste 100 Orange CA 92868-4568 |
Mailing Address |
Po Box 51342 Los Angeles CA 90051-5642 |
Practice Telephone | 7145093919 |
Practice Fax Number | 7145093917 |
Mailing Telephone | 7145093910 |
Mailing Fax Number | 7145093917 |
Enumeration Date | 2008-03-13 |
Last Update Date | 2014-04-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
C53187 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE GROUP | W14887 | 01 |
CA | MEDICAID GRP | GR0085140 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003985680 | Antoine G Khoury | Chiropractor | 1211 N Vermont Ave Ste 100, Los Angeles, CA 90029-1748 | 2006-11-07 |
1871054346 | Antoine Kenneth Khoury | Anesthesiology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-27 |
1659345064 | Antoine B Khoury | Internal Medicine | 640 Jackson St, Mc 11102h, Saint Paul, MN 55101 | 2006-02-14 |
Street Address |
505 S MAIN ST STE 100 |
City | ORANGE |
State | CA |
Zip Code | 92868-4568 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093759110 | Heidi Ann Stephany | Urology | 505 S Main St Ste 100, Orange, CA 92868-4568 | 2006-06-16 |
1831745959 | Mary Mcevoy | Nurse Practitioner | 505 S Main St Ste 100, Orange, CA 92868-4568 | 2019-08-14 |
1093190290 | Zhan Tao Wang | Urology | 505 S Main St Ste 100, Orange, CA 92868-4568 | 2015-07-29 |
1902284656 | Christina Chalmers | Registered Nurse | 505 S Main St Ste 100, Orange, CA 92868-4568 | 2015-05-14 |
1336443001 | Guy Hidas | Pediatrics | 505 S Main St Ste 100, Orange, CA 92868-4568 | 2011-01-10 |
1851529242 | Kai-wen Chuang | Urology | 505 S Main St Ste 100, Orange, CA 92868-4568 | 2009-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
Find all providers in zip 92868 |
Taxonomy Code | 2088P0231X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
Specialization | Pediatric Urology |
Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093759110 | Heidi Ann Stephany | Urology | 505 S Main St Ste 100, Orange, CA 92868-4568 | 2006-06-16 |
1093190290 | Zhan Tao Wang | Urology | 505 S Main St Ste 100, Orange, CA 92868-4568 | 2015-07-29 |
1851529242 | Kai-wen Chuang | Urology | 505 S Main St Ste 100, Orange, CA 92868-4568 | 2009-06-24 |
1255398533 | Uci Department of Urology | Urology | 101 The City Dr S, Orange, CA 92868 | 2006-04-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790326825 | Faculty Physicians and Surgeons of Llusm | Urology | 11360 Mt View Ave Ste B, Loma Linda, CA 92354-3834 | 2019-09-30 |
1124416813 | Igal Silber | Urology | 2645 Nido Way, Laguna Beach, CA 92651-4024 | 2015-01-02 |
1922430016 | Alan M Freedman M D Inc | Urology | 401 Old Newport Blvd Ste 101, Newport Beach, CA 92663-4276 | 2013-07-31 |
1639449614 | Herbert Schwarz | Urology | 12011 Theta Rd, Santa Ana, CA 92705-3328 | 2012-01-06 |
1518194935 | Renea Sturm | Urology | 200 Ucla Medical Plz Ste 170, Los Angeles, CA 90095-8344 | 2009-06-11 |
1295900439 | Faculty Physicians and Surgeons of Llusm | Urology | 11370 Anderson St Ste 2050, Loma Linda, CA 92354-3450 | 2008-04-29 |
1598938243 | Jennifer Hsueh-lin Yang | Urology | Ucsf Department of Urology, 400 Parnassus Avenue, A633, San Francisco, CA 94143-0001 | 2008-04-02 |
1386829034 | University Childrens Medical Group | Urology | 4650 W Sunset Blvd # 114, Los Angeles, CA 90027-6062 | 2007-12-31 |
1255522538 | Andy Yu-how Chang | Urology | 6430 W Sunset Blvd Ste 600, Los Angeles, CA 90028-7909 | 2007-08-05 |
1851500573 | Hillary L Copp | Urology | Ucsf Dept of Urology, 400 Parnassus Ave, San Francisco, CA 94143-0001 | 2007-05-21 |
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.