Katherine Management Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KATHERINE MANAGEMENT GROUP INC

Practice address

67 Sarah Cir
Spencerport, NY 14559-9592

Phone

(585) 208-8668

Fax

(585) 617-4219

NPI assigned

Jul 23, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Alex Ibrahim Fahoury, MD

Title

Physician

Phone

(585) 208-8668

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1619520244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 SARAH CIR",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145599592",
            "telephone_number": "585-208-8668",
            "fax_number": "585-617-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 SARAH CIR",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145599592",
            "telephone_number": "585-208-8668",
            "fax_number": "585-617-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE MANAGEMENT GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "FAHOURY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "IBRAHIM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "585-208-8668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison John
• Jacqueline M Johnson, OTR/L
• Michael W Johnson, PHARMD
• Nadine Johnson, RPH
• Nicole Patricia Johnson, PT
• Grace Keegan, M.S. CCC-SLP
• Sean James Kelley, PT, DPT
• Katherine Lawson Kellogg, CCC-SLP/L
• Brett Edward Kemp, MD
• Mikayla J Kemp

• Internal Medicine Physician in Spencerport, NY
• Providers in Spencerport, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.