California Emergency Physicians Medical Group, a Professional Corp.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORP.

Practice address

9106 Pine View LN
Clinton, MD 20735-3229

Phone

(410) 880-4353

NPI assigned

Nov 25, 2015

Organization subpart

No

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

Authorized official

Name

Theophile Koury, M.D

Title

President

Phone

(510) 350-2600

Specialties & licenses 1

Addresses

Other names 1

• Vituity Doing business as

Locations

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517875200000",
    "number": "1306210554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST",
            "address_2": "STE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081826",
            "telephone_number": "510-350-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 PINE VIEW LN",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353229",
            "telephone_number": "410-880-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2018-02-06",
        "status": "A",
        "authorized_official_last_name": "KOURY",
        "authorized_official_first_name": "THEOPHILE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-350-2600",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vituity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Bushee, M.S.
• Deborah Bushrod, M.D.
• Jennifer Butler, LGPC
• Kathleen G. Butler, M.D.
• John Philip Byrne, M.D.
• John Clifton Campbell, CRNA
• Neil Campbell, DDS
• Jessica N Canty, LICSW
• Capital Harbor Surgery
• Capital Health Solutions LLC

• Internal Medicine Physician in Clinton, MD
• Providers in Clinton, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.