Active NPI
John Oliver Elkhoury, PA
- Physician Assistant
- West Grove, PA
National Provider Identifier
1669937496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA060508
- Practice address
- 1015 W Baltimore Pike
West Grove, PA 19390-9459 - Phone
- (610) 869-1000
- NPI assigned
- Feb 6, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MA060508 | PA | |
| Physician Assistant | 363A00000X | MA060508 | PA | Primary |
Addresses
Primary practice location
1015 W Baltimore Pike
West Grove, PA 19390-9459
Mailing address
1015 W Baltimore Pike
West Grove, PA 19390-9459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA060508 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Grove Clinic Company LLC | Current | Accepting new patients | |
| HR Physician Services | Current | Accepting new patients | |
| HR Physician Services | Emergency Medicine | Current | Accepting new patients |
Locations
1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413
1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000
1011 W Baltimore Pike
Ste 307
West Grove, PA 19390
Phone (610) 869-1240
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Meadowbrook, PA
- NPI 1881696698
-
- Family Medicine Physician
- West Grove, PA
- NPI 1790856078
-
- Emergency Medicine Physician
- Meadowbrook, PA
- NPI 1508868506
-
- Internal Medicine Physician
- Huntingdon Valley, PA
- NPI 1679450910
-
- Neurology Physician
- West Grove, PA
- NPI 1093355992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637366400000",
"number": "1669937496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 W BALTIMORE PIKE",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "193909459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 W BALTIMORE PIKE",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "193909459",
"telephone_number": "610-869-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKHOURY",
"first_name": "JOHN",
"middle_name": "OLIVER",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-06",
"last_updated": "2021-11-20",
"certification_date": "2021-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MA060508",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA060508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.