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C. SCOTT KOENIG NPI 1295986412


NPI Information

NPI: 1295986412
Provider Name: C. SCOTT KOENIG
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
79 SAYLES ST
SOUTHBRIDGE, MA
ZIP 01550
Phone: (508) 764-3200
Get Directions

C. SCOTT KOENIG is a gynecology obstetrics gynecology in Southbridge, MA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee C. SCOTT KOENIG NPI is 1295986412. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

79 SAYLES ST
SOUTHBRIDGE, MA
ZIP 01550-729
Phone: (508) 764-3200
Fax: (508) 764-9600

The provider's authorized official is Corey Scott Koenig .
The authorized official title is Physician and has the following contact phone number (508) 764-3200.

The enumeration date for this NPI number is 10/7/2008 and was last updated on 4/7/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecology72556MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13066100MEDICAIDMASSACHUSETTS
2J10112MEDICARE PINMASSACHUSETTS
3E57735MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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