DR. JACK ALEXANDER KOONTZ (NPI# 1639208945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639208945 |
| Entity Type | Individual |
| Full Name | DR. JACK ALEXANDER KOONTZ |
| Credential | MD |
| Practice Address |
703 Crowfields Ln Asheville NC 28803-3291 |
| Practice Telephone | 8282743130 |
| Mailing Telephone | 8282743130 |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 14238 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
703 CROWFIELDS LN |
| City | ASHEVILLE |
| State | NC |
| Zip Code | 28803-3291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700424538 | Lilian Elizabeth Fountain | Audiologist | 285 Mcdowell Street, Asheville, NC 28803 | 2019-12-11 |
| 1831735422 | Melzer and Associates-biltmore-pllc | Dentist | 1 Vanderbilt Park Dr., Ste: 220, Asheville, NC 28803 | 2019-11-19 |
| 1821632183 | Unified Therapies | Social Worker | 145 Charlotte Hwy, Suite 40, Asheville, NC 28803 | 2019-10-30 |
| 1558919969 | Revolution Access Inc | Contractor | 85 Shiloh Road, Unit 50, Asheville, NC 28803 | 2019-08-28 |
| 1427612621 | Anson Bruce Alvis | Student in an Organized Health Care Education/Training Program | Family Medicine, 123 Hendersonville Road, Asheville, NC 28803 | 2019-04-24 |
| 1457837569 | Haley Ellison Ward | Physician Assistant | 3 Walden Ridge Dr Ste 100, Asheville, NC 28803 | 2018-07-12 |
| 1881188233 | Michelle Nicole Fronzaglia | Speech-Language Pathologist | 9 West Summit Ave, Asheville, NC 28803 | 2018-06-19 |
| 1164912515 | Susan Pethel | Physical Therapist | Southeastern Physical Therapy, LLC., 23 Turtle Creek Drive, Asheville, NC 28803 | 2018-05-11 |
| 1659876878 | Brian Swindell Desmond | Family Medicine | 123 Hendersonville Road, Asheville, NC 28803 | 2018-03-28 |
| 1639672181 | Goldman Medical P.a. | Psychiatry & Neurology | 1516 Kentmere Lane, Asheville, NC 28803 | 2018-03-12 |
| Find all providers in zip 28803 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659876878 | Brian Swindell Desmond | Family Medicine | 123 Hendersonville Road, Asheville, NC 28803 | 2018-03-28 |
| 1174055644 | Katie Jane Gray | Family Medicine | 121 Hendersonville Road, Asheville, NC 28803-2868 | 2017-04-03 |
| 1710237763 | Blue Ridge Headache Center | Family Medicine | 8 Herman Avenue Ext, A, Asheville, NC 28803-9106 | 2012-09-18 |
| 1497018162 | Katharine Currie Rasche | Family Medicine | 84 Coxe Ave Ste 240, Asheville, NC 28801-3686 | 2012-06-19 |
| 1477846848 | Edward Urban | Family Medicine | 1550 Hendersonville Rd Ste 208, Asheville, NC 28803-3245 | 2011-05-18 |
| 1891025243 | Raleigh Durham Medical Group, Pa | Family Medicine | 220 Ridgefield Ct, Asheville, NC 28806-2209 | 2010-01-07 |
| 1093978363 | Summer S Barlow | Family Medicine | 7 Mcdowell St Ste 200, Asheville, NC 28801-4116 | 2008-07-08 |
| 1891993895 | Reena Adjoa-oforiwaa Newton | Family Medicine | 206 Asheland Ave., Asheville, NC 28801-4016 | 2007-07-11 |
| 1508920729 | Ronald Lawrence Plemmons | Family Medicine | 50 Doctors Dr Ste 100, Asheville, NC 28801-4615 | 2006-12-21 |
| 1194899617 | James Jerome Marnock | Family Medicine | 942 Tunnel Rd, Asheville, NC 28805-2025 | 2006-11-17 |
| Find all providers in ASHEVILLE | ||||
Please comment or provide details below to improve the information on DR. JACK ALEXANDER KOONTZ.
| 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.