Mark Steven Khoury, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

MK0021200 Issued in MI

Practice address

150 Millwood St
Suite a
Caro, MI 48723-1656

Phone

(989) 673-3338

Fax

(989) 673-0112

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1245276351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 349",
            "address_2": "SUITE A",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487230349",
            "telephone_number": "989-673-3338",
            "fax_number": "989-673-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MILLWOOD ST",
            "address_2": "SUITE A",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231656",
            "telephone_number": "989-673-3338",
            "fax_number": "989-673-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "MK0021200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2828096",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasey Ann Kastros, OTRL
• Sheana R. Keinath, LMSW
• Carolyn A Keipinger, LMSW
• Amy Danielle Kelly, LPC, QMHP
• Joshua Kennard
• Ruth Kilburn-Doxey, MA, LPC
• Taylor Rae Kim, MOT, OTRL
• Elizabeth Pearl Kitchen, LMSW
• Larry Allen Klosowski
• Shannon J Klupp

• Foot & Ankle Surgery Podiatrist in Caro, MI
• Providers in Caro, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.