Gouhar Yusuof Khan, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD60520385 Issued in WA

Practice address

1818 Cole St
Enumclaw, WA 98022-3504

Phone

(360) 802-5760

Fax

(360) 802-5799

NPI assigned

Aug 3, 2006

Last updated

Apr 10, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Franciscan Medical Group

  dba Franciscan Orthopedics-Silverdale

  • Orthopaedic Surgery Physician
  • Silverdale, WA
  • NPI 1093165334
  Medicare reassignment NPD
• Obhg Washington, PC

  • Obstetrics & Gynecology Physician
  • Silverdale, WA
  • NPI 1962729525
  Medicare reassignment NPD
• Peninsula Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Bremerton, WA
  • NPI 1982654182

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Dean Health Systems, Inc

  dba SSM Health Dean Medical Group

  • Allergy & Immunology Physician
  • Madison, WI
  • NPI 1053358846
  Medicare reassignment NPD
• The Monroe Clinic, Inc.

  dba SSM Health Monroe Clinic Medical Group

  • Specialist
  • Monroe, WI
  • NPI 1386720548
  Medicare reassignment
• Franciscan Medical Group

  dba Harrison HealthPartners, A Part of the Franciscan Medical Group

  • Internal Medicine Physician
  • Bremerton, WA
  • NPI 1154564649
  NPD
• Franciscan Medical Group

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1366539421
  NPD
• Peninsula Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Port Orchard, WA
  • NPI 1205886934

  Obstetrics & Gynecology

  NPD
• Peninsula Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Poulsbo, WA
  • NPI 1831912021
  NPD
• Dean Health Systems, Inc.

  dba SSM Health Davis Duehr Dean Eye Care - Portage

  • Durable Medical Equipment & Medical Supplies
  • Portage, WI
  • NPI 1427085679
  NPD
• Alfredo C. Millan, MD SC

  • Obstetrics & Gynecology Physician
  • Milwaukee, WI
  • NPI 1699860387
  NPD (past)
• Medical Service Associates of Xenia Inc

  • Family Medicine Physician
  • Xenia, OH
  • NPI 1982600862
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1770590341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 COLE ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223504",
            "telephone_number": "360-802-5760",
            "fax_number": "360-802-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 COLE ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223504",
            "telephone_number": "360-802-5760",
            "fax_number": "360-802-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "GOUHAR",
        "middle_name": "YUSUOF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "49428",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD60520385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "341100",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Eric Johnson, DDS
• Janene Ruth Johnson, PTA
• Anthony Carroll Jordan, PA-S
• Roberta Jowell, LPN
• Michael A Kay, DDS
• Joyce Wangui Kibui, PHARMD
• Terri Lynn Kilbourne, MA 00004895
• Jin Bum Kim, M.D.
• King County Anesthesia Associates PLLC
• Corina Marie Kingdon

• Obstetrics & Gynecology Physician in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Obstetrics & Gynecology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.

Verify at the official NPI Registry.