SAM M. KHOURI, MD, A PROFESSIONAL MEDICAL CORPORATION (NPI# 1760093249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760093249 |
| Entity Type | Organization |
| Organization Name | SAM M. KHOURI, MD, A PROFESSIONAL MEDICAL CORPORATION |
| Practice Address |
1580 Creekside Dr Ste 260 Folsom CA 95630-3889 |
| Practice Telephone | 9169847870 |
| Practice Fax Number | 9169847871 |
| Mailing Telephone | 9169847870 |
| Mailing Fax Number | 9169847871 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Authorized Official Name | SAMI M KHOURI (OWNER) |
| Authorized Official Telephone | 9169847870 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | SAM M. KHOURI, MD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sam M. Khouri, MD | Doing Business As Name - Organization |
| Street Address |
1580 CREEKSIDE DR STE 260 |
| City | FOLSOM |
| State | CA |
| Zip Code | 95630-3889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724657 | Corrections and Rehabilitation | Pharmacy | 570 E. Natoma Street, Folsom, CA 95630 | 2020-03-12 |
| 1174153027 | Haley Harmon | Nurse Practitioner | 1621 Creekside Dr. Creekside Ob/gyn, Ste. 102, Folsom, CA 95630 | 2020-01-20 |
| 1932741469 | Ruma Ramani Jolly | Speech-Language Pathologist | 250 Mc Adoo Drive, Willow Springs, Apt.911, Folsom, CA 95630 | 2019-10-16 |
| 1750844767 | Sharon Munyaanyi | Registered Nurse | 1600 Creekside Dr Ste 3700, Folsom, CA 95630 | 2019-04-08 |
| 1104308345 | Stephanie Whatley | Optometrist | 2390 E Bidwell St Ste 400, Folsom, CA 95630 | 2018-09-04 |
| 1447746607 | Heather Michellee Thrapp | Behavioral Analyst | 125 Oak Ravine Way, Folsom, CA 95630 | 2018-07-10 |
| 1700370483 | Loretta May Delgado | Behavior Technician | 322 Crow Cany, Folsom, CA 95630 | 2018-06-18 |
| 1417448176 | Sound Support Inc. | Hearing Instrument Specialist | 610 East Bidwell Street, Suite A, Folsom, CA 95630 | 2018-05-29 |
| 1548750144 | Don Peterson Md, Sugical Assisting | General Practice | Mercy Hospital of Folsom (dignity Health Folsom), 1650 Creekside Dr., Folsom, CA 95630 | 2018-05-18 |
| 1245733328 | American Heritage Hospice Inc | Hospice Care, Community Based | 1837 Iron Point Rd Ste 180, Folsom, CA 95630 | 2018-03-14 |
| Find all providers in zip 95630 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851885545 | Optimal Wellness Clinic Inc | Internal Medicine | 1234 Galston Dr, Folsom, CA 95630-6137 | 2018-06-18 |
| 1376827774 | Cynthia Konrad | Internal Medicine | 11210 Fortier Rd, Folsom, LA 70437-7419 | 2011-10-04 |
| 1346520897 | Richard Craig Weiss | Internal Medicine | 125 Goodell Rd, Folsom, CA 95630-5227 | 2011-08-27 |
| 1184914186 | Cmap Interpretive Services, Inc | Internal Medicine | 2300 Iron Point Rd, #1313, Folsom, CA 95630-8489 | 2011-04-11 |
| 1679897508 | Anhquoc LLC | Internal Medicine | 1780 Creekside Dr Apt 2817, Folsom, CA 95630 | 2010-03-22 |
| 1003971003 | Sharmila P. Amolik | Internal Medicine | 2575 E Bidwell St Ste 100, Folsom, CA 95630-6445 | 2006-12-27 |
| 1174614333 | Jeffrey Andrew Shulkin | Internal Medicine | 1600 Creekside Dr. Suite 1300, Folsom, CA 95630 | 2006-09-27 |
| 1619078904 | Jay Thomas Draeger | Internal Medicine | 1600 Creekside Dr Ste 1300, Folsom, CA 95630-3445 | 2006-09-26 |
| 1598789463 | Wali A Danesh | Internal Medicine | 1611 Creekside Dr Ste 104, Folsom, CA 95630-3490 | 2006-07-26 |
| 1326066119 | Parween Loynab Moness | Internal Medicine | 1611 Creekside Dr, Suite 102, Folsom, CA 95630-3490 | 2006-07-18 |
| Find all providers in FOLSOM | ||||
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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.