Organization Active NPI

Michel Goubran MD PA

  • Family Medicine Physician
  • Emerald Isle, NC
National Provider Identifier
1376783852
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21039 Issued in NC
Legal business name
MICHEL GOUBRAN MD PA
Practice address
7901 Emerald Dr
Suite 7
Emerald Isle, NC 28594-2846
Phone
(252) 354-6500
Fax
(252) 354-5060
NPI assigned
Feb 24, 2009
Last updated
Feb 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Michel Goubran, M.D.
Title
Owner
Phone
(252) 354-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21039 NC Primary

Addresses

Primary practice location

7901 Emerald Dr
Suite 7
Emerald Isle, NC 28594-2846

Mailing address

PO Box 16199
Durham, NC 27704-7199
Phone (919) 956-2626

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1376783852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16199",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277047199",
            "telephone_number": "919-956-2626",
            "fax_number": "919-956-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 EMERALD DR",
            "address_2": "SUITE 7",
            "city": "EMERALD ISLE",
            "state": "NC",
            "postal_code": "285942846",
            "telephone_number": "252-354-6500",
            "fax_number": "252-354-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHEL GOUBRAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "GOUBRAN",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-354-6500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "21039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emerald Isle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.