DR. MARIANNE SARAH KOENIG M.D. NPI 1619930559

NPI Information

NPI: 1619930559
Provider Name: DR. MARIANNE SARAH KOENIG, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
449 ROUTE 130
SANDWICH, MA
ZIP 02563
Phone: (508) 888-8430
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DR. Marianne Sarah Koenig, M.D. is an adolescent medicine pediatrics in Sandwich, MA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Marianne Sarah Koenig, M.D. NPI is 1619930559. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

449 ROUTE 130
SANDWICH, MA
ZIP 02563-339
Phone: (508) 888-8430
Fax: (508) 888-6673

The enumeration date for this NPI number is 4/11/2006 and was last updated on 7/8/2007.

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	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	50001	MASSACHUSETTS	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	28345	OTHER	MASSACHUSETTS	CHILDRENS MEDICAL SECURIT
2	3000532	MEDICAID	MASSACHUSETTS
3	S011190	OTHER	MASSACHUSETTS	TRICARE
4	KOJO4544	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD
5	4849274	OTHER	MASSACHUSETTS	CIGNA
6	1200958	OTHER	MASSACHUSETTS	UNITED HEALTHCARE
7	E33576	MEDICARE UPIN	MASSACHUSETTS
8	JO4544	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
9	20140	OTHER	MASSACHUSETTS	HARVARD PILGRIM HEALTH CA

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

NPI Synchronization or Removal

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