Active NPI
George G Khouri MD PA
- Ophthalmic Technician/Technologist
- West Palm Beach, FL
National Provider Identifier
1457585317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Technician/Technologist
- License
- ME62262
- Legal business name
- GEORGE G KHOURI MD PA
- Practice address
- 1411 N Flagler Dr
Suite 8100
West Palm Beach, FL 33401-3404 - Phone
- (561) 366-8300
- Fax
- (561) 366-8320
- NPI assigned
- May 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George G Khouri, M.D.
- Title
- President
- Phone
- (561) 366-8300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Technician/Technologist | 156FX1100X | ME62262 | FL | Primary |
Addresses
Primary practice location
1411 N Flagler Dr
Suite 8100
West Palm Beach, FL 33401-3404
Mailing address
1411 N Flagler Dr
Suite 8100
West Palm Beach, FL 33401-3404
Phone (561) 366-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374672100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1411 N Flagler Dr
Ste 8100
West Palm Beach, FL 33401
Phone (561) 366-8300
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- West Palm Beach, FL
- NPI 1689683104
-
- Interventional Cardiology Physician
- Palm Beach Gardens, FL
- NPI 1710921143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248739200000",
"number": "1457585317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N FLAGLER DR",
"address_2": "SUITE 8100",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013404",
"telephone_number": "561-366-8300",
"fax_number": "561-366-8320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N FLAGLER DR",
"address_2": "SUITE 8100",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013404",
"telephone_number": "561-366-8300",
"fax_number": "561-366-8320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE G KHOURI MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-07",
"last_updated": "2009-07-28",
"status": "A",
"authorized_official_last_name": "KHOURI",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-366-8300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "156FX1100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Ophthalmic",
"state": "FL",
"license": "ME62262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "374672100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.