DR. SANDRA J KHOURY (NPI# 1831159342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831159342 |
| Entity Type | Individual |
| Full Name | DR. SANDRA J KHOURY |
| Credential | MD |
| Practice Address |
1625 Avenue of The Cities Moline IL 61265-4856 |
| Practice Telephone | 3097975437 |
| Practice Fax Number | 3097973140 |
| Mailing Telephone | 3097975437 |
| Mailing Fax Number | 3097973140 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144721622 | Sandra Christine Khoury | Physical Therapist | 18501 Rotunda Dr Ste 200, Dearborn, MI 48124-3891 | 2018-02-21 |
| Street Address |
1625 AVENUE OF THE CITIES |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-4856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942260070 | Christopher Stanton Moen | Pediatrics | 1625 Avenue of The Cities, Moline, IL 61265-4856 | 2006-03-24 |
| 1598128282 | Molly Wiebel | Nurse Practitioner | 1625 Avenue of The Cities, Moline, IL 61265-4856 | 2016-03-31 |
| 1184026080 | Elizabeth Richmiller | Nurse Practitioner | 1625 Avenue of The Cities, Moline, IL 61265-4856 | 2014-09-23 |
| 1114987252 | Pediatric Group Associates, Sc | Pediatrics | 1625 Avenue of The Cities, Moline, IL 61265-4856 | 2006-03-24 |
| 1295795326 | Thomas Jerome Herr | Pediatrics | 1625 Avenue of The Cities, Moline, IL 61265-4856 | 2006-03-24 |
| 1013977149 | Haile Neptune | Pediatrics | 1625 Avenue of The Cities, Moline, IL 61265-4856 | 2006-03-24 |
| 1164482295 | Anders J Brodd | Pediatrics | 1625 Avenue of The Cities, Moline, IL 61265-4856 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| 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 |
|---|---|---|---|---|
| 1326539925 | Hartman Pediatrics, LLC | Pediatrics | 550 30th Ave Ste 2, Moline, IL 61265-5975 | 2018-05-21 |
| 1568890325 | Pediatrics Plus. S.c. | Pediatrics | 4011 Avenue of The Cities Ste 101b, Suite 101b, Moline, IL 61265-4454 | 2013-10-14 |
| 1942260070 | Christopher Stanton Moen | Pediatrics | 1625 Avenue of The Cities, Moline, IL 61265-4856 | 2006-03-24 |
| 1205820099 | David G Bunker | Pediatrics | 4376 7th St, Moline, IL 61265-6867 | 2005-09-07 |
| 1376925289 | Amita Ghosh | Pediatrics | 1106 4th Ave, Moline, IL 61265 | 2015-06-27 |
| 1386931814 | Lai See Lam | Pediatrics | 1106 4th Ave, Community Health Care, Moline, IL 61265-1231 | 2011-07-05 |
| 1194017913 | Deepna Kukreja | Pediatrics | 1106 4th Avenue, Moline, IL 61265-1231 | 2011-05-12 |
| 1821227414 | Vikram Agrawal | Pediatrics | 600 John Deere Rd, Suite 308, Moline, IL 61265-6869 | 2009-07-06 |
| 1114161908 | Sachin S Nunnewar | Pediatrics | 1106 4th Ave, Moline, IL 61265-1231 | 2009-04-24 |
| 1326188400 | Franklin Pediatrics, S.c. | Pediatrics | 4376 7th St, Moline, IL 61265-6867 | 2007-02-07 |
| Find all providers in MOLINE | ||||
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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.