Khoury Surgical Group, Inc.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

KHOURY SURGICAL GROUP, INC.

Practice address

51339 National Rd
Saint Clairsville, OH 43950-9119

Phone

(304) 233-2455

Fax

(304) 233-6073

NPI assigned

Jul 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rajai T Khoury, MDNPI 1699825158

Title

President

Phone

(304) 233-2455

Specialties & licenses 2

Addresses

Other names 1

• Vascular Lab Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajai T Khoury, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Wheeling, WV
  • NPI 1699825158
  NPD (past) Authorized official
• Renee M Rennick, PA-C

  • Physician Assistant
  • Glen Dale, WV
  • NPI 1760530521
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1104025972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6780",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030918",
            "telephone_number": "304-233-2455",
            "fax_number": "304-233-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51339 NATIONAL RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509119",
            "telephone_number": "304-233-2455",
            "fax_number": "304-233-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHOURY SURGICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "RAJAI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-233-2455",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vascular Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Ann Kenworthy
• Thomas Kettlewell
• Jacob Keyser
• Keystone Rehabilitation Systems Inc
• Keystone Rehabilitation Systems, Inc.
• Khoury Vascular & Vein Inc
• Aaliyah Ann Kidd
• Holly Marie Kidd
• Justin T Kiger, MPT
• Kayla Danielle Kimmins

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.