Bishara R Khoury (NPI# 1831576693, PAC ID# 4284929480) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1831576693 |
| PAC ID by PECOS | 4284929480 |
| Professional Enrollment ID | I20180801001968 |
| Full Name | Bishara R Khoury |
| Organization Legal Name | COMMUNITY CARE NETWORK INC |
| Address |
3545 Arbor Blvd Suite E Portage IN 46368-4298 |
| Phone Number | 2199476920 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3678737012 |
| Number of Group Practice Members | 338 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150034 | ST MARY MEDICAL CENTER INC |
| Address | Phone | Organization |
|---|---|---|
| 3545 Arbor Blvd, Suite E, Portage, IN 46368-4298 | 2199476920 | COMMUNITY CARE NETWORK INC |
| Organization Legal Name | COMMUNITY CARE NETWORK INC |
| Physicians | 313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Ann Mantis | Certified Clinical Nurse Specialist (cns) | Community Care Network Inc | 9126 Columbia Ave, Munster, IN 46321-2907 |
| Megan Fiscella | Physical Therapy | Community Care Network Inc | 1545 W Us Hwy 30, Schererville, IN 46375-1562 |
| Farrukh Salim Chaudhry | Neurology | Community Care Network Inc | 901 Macarthur Blvd, Munster, IN 46321-2901 |
| Alicia Christina Fowler | Nurse Practitioner | Community Care Network Inc | 1946 45th St, Munster, IN 46321-3986 |
| Stephanie M Evanson | Obstetrics/gynecology | Community Care Network Inc | 9122 Columbia Ave, Munster, IN 46321-2907 |
| Marylynn Katherine Barnes | Nurse Practitioner | Community Care Network Inc | 3100 45th St, Highland, IN 46322-3289 |
| Megan Maria Lawrence | Nurse Practitioner | Community Care Network Inc | 103 E 89th Ave, Merrillville, IN 46410-7184 |
| Angela D Patti | Nurse Practitioner | Community Care Network Inc | 9034 Columbia Ave, Munster, IN 46321-2905 |
| Justin Abraham | Neurology | Community Care Network Inc | 6625 W Lincoln Hwy, Suite 4, Crown Point, IN 46307-6611 |
| Tina A Crum | Certified Nurse Midwife (cnm) | Community Care Network Inc | 3800 Saint Mary Rd, Suite 201, Valparaiso, IN 46383-3986 |
| Street Address |
3545 ARBOR BLVD SUITE E |
| City | PORTAGE |
| State | IN |
| Zip | 46368-4298 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay T Gordon | Nurse Practitioner | Community Care Network Inc | 3545 Arbor Blvd, Suite E, Portage, IN 46368-4298 |
| Keith Atassi | Cardiovascular Disease (cardiology) | Community Care Network Inc | 3545 Arbor Blvd, Portage, IN 46368-4298 |
| Ted Vellos | Urology | Community Care Network Inc | 3545 Arbor Blvd, Suite A, Portage, IN 46368-4298 |
| Christina T Huynh | Family Medicine | Community Care Network Inc | 3545 Arbor Blvd, Portage, IN 46368-4298 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey R Robertson | Clinical Social Worker | 6840 Prairie Run Ave, Portage, IN 46368-2665 | |
| Carol Barbara Hillmann | Clinical Psychologist | 2610 Portage Mall, Portage, IN 46368-3008 | |
| Kim Paul Cory | Optometry | 6509 Central Ave, Portage, IN 46368-3101 | |
| Scott A Cory | Ophthalmology | 6509 Central Ave, Portage, IN 46368-3101 | |
| Daniel R Dewar | Chiropractic | Dewar Chiropractic Inc. | 2686 Willowcreek Rd B, Portage, IN 46368-3550 |
| Michael A Villanueva | Chiropractic | Dewar Chiropractic Inc. | 2686 Willowcreek Rd B, Portage, IN 46368-3550 |
| Jesse T Murphy | Podiatry | Podiatric Medical Associates PC | 6289 Central Ave, Portage, IN 46368-3725 |
| David Parks | Psychologist, Clinical | 6337 Central Ave, Portage, IN 46368-3801 | |
| Jaclyn Renee Stitt | Chiropractic | 6325 Central Ave, Portage, IN 46368-3801 | |
| Shreyas Arvind Desai | Internal Medicine | Internal Medicine,geriatrics and Oncology Group, P.C. | 2640 Hamstrom Rd, Portage, IN 46368-3832 |
| Find all physicians in zip 46368 | |||
| City | PORTAGE |
| Zip Code | 46368 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PORTAGE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bishara R Khoury.
| 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.