DR. MICHAEL D KHOURY (NPI# 1992792659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992792659 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL D KHOURY |
| Credential | MD |
| Practice Address |
1380 E Medical Center Dr Suite 2600 St George UT 84790-2123 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 4352512700 |
| Practice Fax Number | 4352512535 |
| Mailing Telephone | 4352512700 |
| Mailing Fax Number | 4352512535 |
| Enumeration Date | 2005-09-28 |
| Last Update Date | 2008-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
6318934-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093963365 | Michael Nabil Khoury | Psychiatry & Neurology | 1425 S Eads St, Apt. 402, Arlington, VA 22202-2847 | 2008-08-28 |
| 1407478001 | Michael Osama Khoury | Emergency Medicine | 1001 S George St, York, PA 17403-3676 | 2020-05-18 |
| 1104453422 | Michael Khoury | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-03-25 |
| 1720504541 | Michael Khoury | Pediatrics | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2017-08-15 |
| 1649336256 | Michael B Khoury | Optometrist | 6100 Sepulveda Blvd, Van Nuys, CA 91411-2503 | 2006-12-28 |
| 1942300777 | Michael Khoury | Hospitalist | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2006-09-22 |
| 1588616536 | Michael George Khoury II | Radiology | 26454 Woodward Ave, Royal Oak, MI 48067-0919 | 2006-05-17 |
| Street Address |
1380 E MEDICAL CENTER DR SUITE 2600 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144216292 | Holly A Gore | Registered Nurse | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2005-09-23 |
| 1659971109 | Fran Vakalahi | Pharmacist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-10-26 |
| 1396352001 | Conni Elms | Registered Nurse | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-09-26 |
| 1659996304 | Ian Andrus | Pharmacist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-06-09 |
| 1588287320 | Paul Siddoway Cochran | Nurse Practitioner | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-05-27 |
| 1083235618 | Don Benjamin Wilson | Pharmacist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-05-05 |
| 1427680651 | Kimberly Hull | Dietitian, Registered | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-02-05 |
| 1255971198 | Pathology Services Inc | Pathology | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-01-08 |
| 1356988604 | Gregory Seth Orton | Registered Nurse | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2019-12-05 |
| 1326683897 | Amelia E Ence | Occupational Therapist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2019-11-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326173394 | Ihc Health Services Inc | Surgery | 1380 E Medical Center Dr, Suite 2600, St George, UT 84790-2123 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802352 | Usa Vascular Centers of Utah LLC | Surgery | 3479 W 4800 S Ste A, Roy, UT 84067-9429 | 2020-08-18 |
| 1346507456 | Evan Robert Brownie | Surgery | 5323 S Woodrow St Ste 101, Murray, UT 84107-5843 | 2012-04-13 |
| 1801110531 | Jesse Perry | Surgery | 777 Old Ranch Rd, Park City, UT 84098-6714 | 2010-03-24 |
| 1518293323 | Lakeview Internal Medicine, LLC | Surgery | 444 W Bourne Cir Ste 101, Farmington, UT 84025-3657 | 2009-10-29 |
| 1235398645 | Grant Bryan Erickson | Surgery | Dept Vascular Surgey, 30 North 1900 East, Room 3c 344 Som, Salt Lake City, UT 84132-0001 | 2008-06-02 |
| 1144498163 | Faheem Akhtar | Surgery | 3903 Harrison Blvd., Suite 100, Ogden, UT 84403-2361 | 2008-02-12 |
| 1437347770 | Summit Laser Medical Arts, LLC | Surgery | 2952 Caitland Ct, Salt Lake City, UT 84121-7018 | 2007-10-11 |
| 1033215686 | Peter E Jensen | Surgery | 7410 S Creek Rd Ste 104, Sandy, UT 84093-6151 | 2006-09-14 |
| 1790719219 | Mark D Morasch | Surgery | 1160 E 3900 S Ste 3500, Salt Lake City, UT 84124-1264 | 2006-07-10 |
| 1023019346 | Greg R. Goodman | Surgery | 5323 S. Woodrow Street, #102, Murray, UT 84107 | 2005-08-09 |
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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.