Individual provider Active NPI

Caroline D Zohoury, DO

  • Family Medicine Physician
  • Clawson, MI
National Provider Identifier
1871574533
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101009948 Issued in MI
Practice address
115 N Rochester Rd
Clawson, MI 48017-1743
Phone
(248) 588-0400
Fax
(248) 616-0846
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101009948 MI Primary

Addresses

Primary practice location

115 N Rochester Rd
Clawson, MI 48017-1743

Mailing address

115 N Rochester Rd
Clawson, MI 48017-1743
Phone (248) 588-0400

Other identifiers 1

IdentifierTypeStateIssuer
2799717MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070717000041 MI Practitioner - Family Practice 5496855694 Practice locations: Clawson, MI; Troy, MI

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

115 N Rochester Rd
Clawson, MI 48017-1743

115 N Rochester Rd
Clawson, MI 48017-1790
Phone (248) 588-0400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101009948MIMDFamily Medicine Physician

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1871574533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N ROCHESTER RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171743",
            "telephone_number": "248-588-0400",
            "fax_number": "248-616-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N ROCHESTER RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171743",
            "telephone_number": "248-588-0400",
            "fax_number": "248-616-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOHOURY",
        "first_name": "CAROLINE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2799717",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clawson, MI

Sources for this page

Verify at the official NPI Registry.