Edmon Khoury, M.D.

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

DR-48333 Issued in CO

Practice address

9777 S Yosemite St
Suite 200
Lone Tree, CO 80124-3191

Phone

(303) 803-1000

Fax

(720) 475-8472

NPI assigned

Nov 24, 2009

Last updated

Nov 24, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Denver Cosmetic Surgery, PLLC

  • Medical Specialty Clinic/Center
  • Lone Tree, CO
  • NPI 1982932299
  NPD (past) Authorized official

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1629306006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5096 TEN MILE PL",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801088837",
            "telephone_number": "720-375-0352",
            "fax_number": "720-475-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 S YOSEMITE ST",
            "address_2": "SUITE 200",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801243191",
            "telephone_number": "303-803-1000",
            "fax_number": "720-475-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "EDMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CO",
            "license": "DR-48333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Keselman, DO
• Elizabeth Shoemaker Kevil, PT, DPT, OCS, CSCS
• Hashim W. Khan, M.D.
• Shannon Khattak, PA-C
• Alexandra Marry Khoury
• Stacey Kiefer
• Kathryn Killam, LCSW
• Robert A Kilpatrick
• David Hakbum Kim, MD
• Lawrence Kim, M.D

• Facial Plastic Surgery Physician in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Facial Plastic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.