Active NPI
Raleigh Urology PA
- Urology Physician
- Raleigh, NC
National Provider Identifier
1891963120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 38995
- Legal business name
- RALEIGH UROLOGY PA
- Practice address
- 4201 Lake Boone TRL Ste 205
Raleigh, NC 27607-7511 - Phone
- (919) 571-6460
- NPI assigned
- Feb 20, 2008
- 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
- Dr. Joseph Michael Khoury
- Title
- Owner
- Phone
- (919) 571-6460
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 38995 | NC | Primary |
Addresses
Primary practice location
4201 Lake Boone TRL Ste 205
Raleigh, NC 27607-7511
Mailing address
4201 Lake Boone TRL Ste 205
Raleigh, NC 27607-7511
Phone (919) 571-6460
National Provider Directory
National Provider DirectoryLocations
4201 Lake Boone Trl
Ste 205
Raleigh, NC 27607
Phone (919) 571-6460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278460800000",
"number": "1891963120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 LAKE BOONE TRL STE 205",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077511",
"telephone_number": "919-571-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 LAKE BOONE TRL STE 205",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077511",
"telephone_number": "919-571-6460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RALEIGH UROLOGY PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-20",
"last_updated": "2010-07-07",
"status": "A",
"authorized_official_last_name": "KHOURY",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-571-6460",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "NC",
"license": "38995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.