SKS Surgical Group PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

M1827 Issued in TX

Legal business name

SKS SURGICAL GROUP PA

Practice address

23960 Katy Fwy
Suite 130
Katy, TX 77494-1339

Phone

(281) 347-0088

NPI assigned

Jul 10, 2007

Last updated

Dec 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sammy E Khoury, M.D.NPI 1669459988

Title

Physician

Phone

(281) 347-0088

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sammy E Khoury, MD

  • Surgery Physician
  • Katy, TX
  • NPI 1669459988
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1225236391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23960 KATY FWY",
            "address_2": "SUITE 130",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941339",
            "telephone_number": "281-347-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23960 KATY FWY",
            "address_2": "SUITE 130",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941339",
            "telephone_number": "281-347-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKS SURGICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "281-347-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "M1827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225236391",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Katy, TX
• Providers in Katy, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.