| Dr Peter Easa Khoury, DO | |
|
2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546-6113 | |
| (616) 285-1377 | |
| Not Available |
| Full Name | Dr Peter Easa Khoury |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 8 Years |
| Location | 2060 East Paris Ave Se Ste 200, Grand Rapids, Michigan |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174057970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 5101026090 (Michigan) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 64743 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 522 |
| Nsa Pain Services Of Michigan Iii, Pllc | 8921428996 | 13 |
| Entity Name | Michigan Pain Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467418574 PECOS PAC ID: 8426959099 Enrollment ID: O20040225001094 |
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
| Entity Name | Nsa Pain Services Of Michigan Iii, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376169524 PECOS PAC ID: 8921428996 Enrollment ID: O20201013000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter Easa Khoury, DO 2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546-6113 Ph: (616) 285-1377 | Dr Peter Easa Khoury, DO 2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546-6113 Ph: (616) 285-1377 |
Mary C Leemputte, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Wealthy St Se Ste 300, Grand Rapids, MI 49506 Phone: 616-774-8345 | |
Kevin Edward Fitzgerald, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se, Ste 305, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006 | |
Dr. Kevin M. Nemeth, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1154 | |
Joseph Yared Vanden Bosch, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006 | |
Daniel James Veldheer, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2060 E Paris Ave Se, Grand Rapids, MI 49546 Phone: 616-285-1377 | |
Mark Louis Gostine, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 2060 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006 | |
Keith B Javery, DO Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-588-7246 Fax: 616-588-7086 |