Cep America - Kansas LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

CEP AMERICA - KANSAS LLC

Practice address

3251 N Rock Rd
Derby, KS 67037-3850

Phone

(833) 345-7625

NPI assigned

Jan 25, 2019

Last updated

Jul 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theophile G. Koury, MDNPI 1568483691

Title

President

Phone

(510) 350-2600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1023405503

  O20150612000623

  Same enrollment
• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1659768125

  O20150612000623

  Same enrollment
• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1790172260

  O20150612000623

  Same enrollment
• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Wellington, KS
  • NPI 1932704608

  O20150612000623

  Same enrollment

Practitioners 4

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.

• Theophile G. Koury, M.D.

  • Emergency Medicine Physician
  • Walnut Creek, CA
  • NPI 1568483691
  Authorized official Same address or phone
• Maged Botros, MD

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1982651824
  NPD
• Michael Gerard Hudson, MD

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1437788064
  NPD
• Jesse Joel Coleman, D.O.

  • Emergency Medicine Physician
  • Chattanooga, TN
  • NPI 1982884961
  NPD

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1841754660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CUMMINS DR STE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953586411",
            "telephone_number": "510-350-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 N ROCK RD",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373850",
            "telephone_number": "833-345-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEP AMERICA - KANSAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "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": "510-350-2600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol M. Ysidro, D.D.S.,P.a.
• Haylee Carpentar
• Jennifer Lynn Carr, DOCTOR OF OPTOMETRY
• Noah Carroll, LMFT-T
• Katherine Jean Cates Panakos, DO
• Lydia Chavez-Carrillo
• Lauren Nichole Chavez, RN
• Anne Clark, DPT
• Courtney N Clark, MA, CCC-SLP
• Angela Clausius

• Emergency Medicine Physician in Derby, KS
• Providers in Derby, KS by specialty
• Emergency Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.