Raymond Khoudary MDPC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

MD048279L Issued in PA

Legal business name

RAYMOND KHOUDARY MDPC

Practice address

190 S River St
Plains, PA 18705-1149

Phone

(570) 970-1400

Fax

(570) 970-1403

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Debbie Brown

Title

Billing Office

Phone

(570) 970-1400

Specialties & licenses 1

Addresses

Other identifiers 8

Practitioners 1

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

• Raymond Khoudary, MD

  • Allergy & Immunology Physician
  • Plains, PA
  • NPI 1396727236
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1295947141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 S RIVER ST",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051149",
            "telephone_number": "570-970-1400",
            "fax_number": "570-970-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S RIVER ST",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051149",
            "telephone_number": "570-970-1400",
            "fax_number": "570-970-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND KHOUDARY MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "BILLING OFFICE",
        "authorized_official_telephone_number": "570-970-1400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "PA",
            "license": "MD048279L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8954255",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "020260900",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4557012",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBC",
            "identifier": "50044349",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FPH",
            "identifier": "079698",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HBS",
            "identifier": "333056",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0031149000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "23578",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry J Pernikoff, M.D.
• Eli Gerard Phillips
• Plains Volunteer Ambulance Association
• Melissa Katherine Prushinski, MSPT
• Nicholas John Pugliese, MSOTR/L
• Rehabclinics SPT Inc
• Jennifer Repshis, PAC
• Richard N. Langdon D.C.P.C.
• Rite Aid of Pennsylvania LLC
• George Ritz, MD

• Allergy Physician in Plains, PA
• Providers in Plains, PA by specialty
• Allergy Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.