M.Steven Khoury

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

MK001200 Issued in MI

Legal business name

M.STEVEN KHOURY

Practice address

150 Millwood St
Suite a
Caro, MI 48723-1656

Phone

(989) 673-3338

Fax

(989) 673-0112

NPI assigned

Jun 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Khoury, D.P.M.

Title

Physician

Phone

(989) 673-3338

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1265469837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 349, 150 MILLWOOD ST.",
            "address_2": "SUITE A",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487441656",
            "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": {
        "organization_name": "M.STEVEN KHOURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "989-673-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "MK001200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2828096",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.