STEPHANIE L KOONCE MD NPI 1457071060

NPI Information

NPI: 1457071060
Provider Name: STEPHANIE L KOONCE MD
Classification: Surgery - 2086S0122X
Specialization: Plastic and Reconstructive Surgery
Entity Type: Organization
Doing Business As: ECOSSE PLASTIC SURGERY
Address: 3301 S MARKET ST STE 205
ROGERS, AR
ZIP 72758
Phone: (479) 276-6888

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NPI Details

STEPHANIE L KOONCE MD is a plastic and reconstructive surgery surgery in Rogers, AR. The provider is a surgeon who specializes in plastic and reconstructive surgery. STEPHANIE L KOONCE MD NPI is 1457071060. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Ecosse Plastic Surgery.

The provider's business location address is:

3301 S MARKET ST STE 205
ROGERS, AR
ZIP 72758-700
Phone: (479) 276-6888
Fax: (479) 309-4222

The provider's authorized official is Stephanie Leighann Koonce .
The authorized official title is Manager/owner and has the following contact phone number (479) 719-0862.

The enumeration date for this NPI number is 9/1/2022 and was last updated on 10/10/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	208200000X	Plastic Surgery		No
2	2082S0099X	Plastic Surgery	Plastic Surgery Within the Head and Neck	No
3	2086S0122X	Surgery	Plastic and Reconstructive Surgery	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	227580001	MEDICAID	ARKANSAS
2	200783620A	MEDICAID	OKLAHOMA

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: 11/21/2025

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