JASON KOONTZ (NPI# 1386817104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386817104 |
| Entity Type | Individual |
| Full Name | JASON KOONTZ |
| Credential | M.D., PH.D. |
| Practice Address |
3919 Sterling Ridge Ln Durham NC 27707-5459 |
| Practice Telephone | 9199706452 |
| Enumeration Date | 2008-04-13 |
| Last Update Date | 2008-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
110495 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
3919 STERLING RIDGE LN |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-5459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619467529 | Clerio Francisco De Azevedo Filho | Internal Medicine | 10 Medicine Circle - Duke Medical Pavilion Room 1e50, Durham, NC 27710-0001 | 2018-05-16 |
| 1376956714 | Anthony Carnicelli | Internal Medicine | 2301 Erwin Rd Dumc 3845 Duke University Hospital, Durham, NC 27710-6110 | 2014-06-03 |
| 1508289398 | Shabina Sheikh | Internal Medicine | 6 Dawson Ct, Durham, NC 27703-9424 | 2014-01-29 |
| 1013262419 | Marat Fudim | Internal Medicine | 7624a Hosp N, Cardiology Program Office, Durham, NC 27710 | 2012-07-23 |
| 1134417660 | Amit Vipin Patel | Internal Medicine | 1821 Hillandale Rd Ste 25c, Durham, NC 27705-2671 | 2011-07-18 |
| 1861636300 | Tiffany Patrice Randolph | Internal Medicine | Dumc Box 3182, Duke University Internal Medicine Program, Durham, NC 27710 | 2009-04-28 |
| 1588831903 | Zainab Samad | Internal Medicine | Orange Zone Duke Rm 3347a, 200 Trent Drive, Durham, NC 27710-0001 | 2008-05-14 |
| 1275709149 | Deepak Voora | Internal Medicine | 905 S Lasalle St, 2004 - Snyderman Building, Durham, NC 27710-3017 | 2008-05-01 |
| 1932381829 | Richa Agarwal | Internal Medicine | Duke University Medical Center 2301 Erwin Road, Durham, NC 27710 | 2007-12-03 |
| 1710029475 | Robert A Rosati | Internal Medicine | 3543 Rose of Sharon Rd, Durham, NC 27712-3308 | 2007-02-12 |
| Find all providers in DURHAM | ||||
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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.