PETER KOENIG PA-C (NPI# 1326416140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326416140 |
| Entity Type | Individual |
| Full Name | PETER KOENIG PA-C |
| Practice Address |
2200 E 104th Ave Ste 115 Thornton CO 80233-4402 |
| Practice Telephone | 3034522766 |
| Practice Fax Number | 3032528694 |
| Mailing Telephone | 3034522766 |
| Mailing Fax Number | 3032528694 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA0004394 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2200 E 104TH AVE STE 115 |
| City | THORNTON |
| State | CO |
| Zip Code | 80233-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725411 | Colorado Physician Partners, Pllc | Family Medicine | 2200 E 104th Ave Ste 115, Thornton, CO 80233-4402 | 2020-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477018232 | Kantor Dental Group 2, Pllc | Clinic/Center | 11979 Holly St, Thornton, CO 80233 | 2019-02-06 |
| 1841789799 | Alicia Carol | Music Therapist | 3750 E 107th Ave, Thornton, CO 80233 | 2018-05-07 |
| 1750893228 | Lisa Marie Gonzales | Speech-Language Pathologist | 11875 Humboldt Drive, Northglenn, CO 80233 | 2017-10-24 |
| 1205354842 | Ishtar Khan | Registered Nurse | 11064 Clayton Street, Northglenn, CO 80233 | 2017-09-05 |
| 1649727702 | Beth Hale | Counselor | 1104 Eudora Circle, Thornton, CO 80233 | 2016-09-07 |
| 1376090977 | Audrey Holland | Registered Nurse | 2965 East 109th Avenue, Specialty Foot Care LLC, Northglenn, CO 80233 | 2016-09-01 |
| 1962958223 | Northglenn Endoscopy Center LLC | Clinic/Center | 11900 Grant Street, #320, Northglenn, CO 80233 | 2016-08-28 |
| 1518349141 | Ashley Makelky | Registered Nurse | 11427 Cook Court, Denver, CO 80233 | 2015-06-19 |
| 1992115497 | Northglenn Smiles Dentistry and Orthodontics, LLP | Dentist | 100 E 120th Avenue, Unit C130, Northglenn, CO 80233 | 2014-05-06 |
| 1053744136 | Dominic Evan Philpott | Dentist | 10780 N. Washington Ave., Northglenn, CO 80233 | 2013-08-13 |
| Find all providers in zip 80233 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730439399 | Erin Carol Cheng | Physician Assistant | 1181 E 120th Ave Unit A, Thornton, CO 80233-5729 | 2012-09-11 |
| 1639543028 | Sarah Ann Fredrickson | Physician Assistant | 8990 Washington St, Thornton, CO 80229-4537 | 2015-11-23 |
| 1164807327 | Logan Ann Jennings | Physician Assistant | 9197 Grant St, Suite 200, Thornton, CO 80229-4329 | 2015-07-29 |
| 1992180442 | Mathilde M Sullivan | Physician Assistant | 8990 Washington St, Thornton, CO 80229-4537 | 2015-07-27 |
| 1720481120 | Rachel Spady | Physician Assistant | 9195 Grant Street, #300, Thornton, CO 80229-4386 | 2014-09-30 |
| 1013317965 | Kaitlin Ehrlich | Physician Assistant | 9197 Grant St, Suite 100, Thornton, CO 80229-4329 | 2014-08-28 |
| 1497154975 | Robin Sproule | Physician Assistant | 1551 Milky Way, Thornton, CO 80260-4713 | 2014-08-20 |
| 1730597220 | Jena Grimm | Physician Assistant | 9197 Grant St, Suite 200, Thornton, CO 80229-4329 | 2014-07-28 |
| 1003171612 | Sara Ann Flanigan | Physician Assistant | 9191 Huron St, Thornton, CO 80260-6842 | 2012-07-10 |
| 1083844872 | Emily W Majure | Physician Assistant | 3260 E 104th Ave, Thornton, CO 80233-4406 | 2009-07-15 |
| Find all providers in THORNTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.