COREY SCOTT KOENIG DO NPI 1922011642

NPI Information

NPI: 1922011642
Provider Name: COREY SCOTT KOENIG, DO
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
79 SAYLES ST
SOUTHBRIDGE, MA
ZIP 01550
Phone: (508) 764-3200
Get Directions

Corey Scott Koenig, DO is an obstetrics gynecology in Southbridge, MA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Corey Scott Koenig, DO NPI is 1922011642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

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

The enumeration date for this NPI number is 8/14/2006 and was last updated on 12/21/2011.

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	207V00000X	Obstetrics & Gynecology		72556	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	J1011203	MEDICARE PIN	MASSACHUSETTS
2	J10112	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
3	072556	OTHER	MASSACHUSETTS	TUFTS
4	13730	OTHER	MASSACHUSETTS	HARVARD PILGRIM
5	3066100	MEDICAID	MASSACHUSETTS
6	E57735	MEDICARE 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

NPI Synchronization or Removal

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