Organization Active NPI

University Parkway Medical Clinic, Inc

  • Internal Medicine Physician
  • Sarasota, FL
National Provider Identifier
1457546897
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0055732 Issued in FL
Legal business name
UNIVERSITY PARKWAY MEDICAL CLINIC, INC
Practice address
3231 Gulf Gate Dr
Suite #101
Sarasota, FL 34231-2406
Phone
(941) 922-2340
Fax
(941) 922-2081
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Dr. Suhail A Khoury, PH.D., M.D.
Title
President
Phone
(941) 922-2340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0055732 FL Primary

Addresses

Primary practice location

3231 Gulf Gate Dr
Suite #101
Sarasota, FL 34231-2406

Mailing address

3231 Gulf Gate Dr
Suite #101
Sarasota, FL 34231-2406
Phone (941) 922-2340

Other identifiers 2

IdentifierTypeStateIssuer
09766OtherBLUE CROSS
110098404OtherRAILROAD MEDICARE

Other names 1

  • Khoury Medical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1457546897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 GULF GATE DR",
            "address_2": "SUITE #101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342312406",
            "telephone_number": "941-922-2340",
            "fax_number": "941-922-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 GULF GATE DR",
            "address_2": "SUITE #101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342312406",
            "telephone_number": "941-922-2340",
            "fax_number": "941-922-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PARKWAY MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "SUHAIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-922-2340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0055732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "09766",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110098404",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Khoury Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.