Wissam Khoory, MD,PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

153969 Issued in MA

Legal business name

WISSAM KHOORY, MD,PC

Practice address

20 Hope Ave
Suite G03
Waltham, MA 02453-2721

Phone

(781) 893-4490

Fax

(781) 893-1030

NPI assigned

Apr 1, 2008

Organization subpart

No

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

Authorized official

Name

Michelle Cormier

Title

Secretary

Phone

(781) 893-4490

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

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

• Wissam J Khoory, M.D.

  • Internal Medicine Physician
  • Waltham, MA
  • NPI 1013962430
  Medicare reassignment NPD
• Alison Kaplanes, MS, RD, LDN, CDE

  • Registered Dietitian
  • Waltham, MA
  • NPI 1194778845
  NPD (past)

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1205008141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HOPE AVE",
            "address_2": "SUITE G03",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532721",
            "telephone_number": "781-893-4490",
            "fax_number": "781-893-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOPE AVE",
            "address_2": "SUITE G03",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532721",
            "telephone_number": "781-893-4490",
            "fax_number": "781-893-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISSAM KHOORY, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "CORMIER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "781-893-4490"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "153969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "J18529",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wincare LLC
• Andrew Martin Wineman
• Jonathan Philip Winickoff, MD MPH
• Roxann Wint
• Morissa Nili Sher Wiser, MSW LICSW
• Alexandra Wolfe, PA-C
• Christine M Wolff, PHD
• Robert R Wolff, MD
• Robyn S. Wolff, OTR/L
• Ellen L Wolk, D. C.

• Internal Medicine Physician in Waltham, MA
• Providers in Waltham, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.