Active NPI
Vituity - Nevada Koury & Partners PLLC
- Emergency Medicine Physician
- Incline Village, NV
National Provider Identifier
1710588314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- VITUITY - NEVADA KOURY & PARTNERS PLLC
- Practice address
- 880 Alder Ave
Incline Village, NV 89451-8335 - Phone
- (775) 833-4100
- NPI assigned
- Nov 2, 2020
- Last updated
- Feb 11, 2021
- 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
- Theophile G. Koury
- Title
- President
- Phone
- (510) 851-7411
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
880 Alder Ave
Incline Village, NV 89451-8335
Mailing address
2100 Powell St Ste 400
Emeryville, CA 94608-1826
Phone (510) 350-2600
National Provider Directory
National Provider DirectoryLocations
4855 Blue Diamond Rd
Las Vegas, NV 89139
Phone (702) 216-7305
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Walnut Creek, CA
- NPI 1568483691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613001600000",
"number": "1710588314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST STE 400",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081826",
"telephone_number": "510-350-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 ALDER AVE",
"city": "INCLINE VILLAGE",
"state": "NV",
"postal_code": "894518335",
"telephone_number": "775-833-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITUITY - NEVADA KOURY & PARTNERS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-02",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A",
"authorized_official_last_name": "KOURY",
"authorized_official_first_name": "THEOPHILE",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-851-7411"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Incline Village, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.