DR. JOHN CURTIS EDWARD KOENIG JR. (NPI# 1760757942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760757942 |
| Entity Type | Individual |
| Full Name | DR. JOHN CURTIS EDWARD KOENIG JR. |
| Credential | M.D. |
| Practice Address |
3570 Vigo Rd Bagdad KY 40003-8022 |
| Practice Telephone | 5027478666 |
| Practice Fax Number | 5027478666 |
| Mailing Telephone | 5027478666 |
| Mailing Fax Number | 5027478666 |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 19605 | KY | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
19605 | KY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033257639 | John Edward Koenig | Contractor | 609 N Main St, Clarion, IA 50525-1137 | 2007-02-03 |
| Street Address |
3570 VIGO RD |
| City | BAGDAD |
| State | KY |
| Zip Code | 40003-8022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730445347 | Community Hospital Association, Inc. | Clinic/Center | 700 Palo Verde Road, Bagdad, AZ 86321 | 2012-04-09 |
| 1609807957 | Sonia A Seufer | Family Medicine | 12 Hope Drive, Bagdad, AZ 86321 | 2006-07-05 |
| 1407851132 | John Arthur Buckman | Physician Assistant | 12 Hope Dr, Bagdad, AZ 86321 | 2005-06-17 |
| 1457804932 | Christal Garza | Nurse Practitioner | 12 Hope Drive, Bagdad, AZ 86321 | 2016-08-01 |
| 1912118779 | Bagdad Consulting Physicians Group | Clinic/Center | 12 Hope Drive, Bagdad, AZ 86321 | 2007-05-24 |
| 1649375437 | Shahrokh Nmn Salmasi | General Practice | 12 Hope Drive, Bagdad, AZ 86321 | 2006-09-14 |
| 1528087251 | Gary Crandell | Physician Assistant | 12 Hope Dr, Bagdad, AZ 86321 | 2006-07-19 |
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205452836 | Jenna M. Richards Do | Pediatrics | 793 Eastern Byp Ste 110, Richmond, KY 40475-2425 | 2020-06-19 |
| 1598384745 | Breckinridge Health Clinic | Pediatrics | 203b Fairgrounds Rd, Hardinsburg, KY 40143-2585 | 2020-04-08 |
| 1811533433 | Grace Community Health Center, Inc. | Pediatrics | 120 N Commonwealth Ave Ste 123&4, Corbin, KY 40701-6472 | 2019-11-19 |
| 1558827774 | August Pediatrics, LLC | Pediatrics | 123 N 19th St Ste 302, Middlesboro, KY 40965 | 2019-02-12 |
| 1306316989 | Jacquee L Mcnear | Pediatrics | 801 Barret Avenue Suite 314, Louisville, KY 40204-1701 | 2018-11-27 |
| 1477059657 | Advanced Care Pediatric Centre Pllc | Pediatrics | 1000 E Lexington Ave Ste 31, Danville, KY 40422-1707 | 2018-04-05 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| 1154855054 | John Michael Jansen | Pediatrics | 3320 Tates Creek Rd Ste 302, Lexington, KY 40502-3400 | 2017-04-18 |
| 1396286407 | Alvarado Medical Services Pllc | Pediatrics | 25 E Hickman St, Winchester, KY 40391-2448 | 2017-03-09 |
| 1407218589 | Caitlyn Anglin | Pediatrics | University of Kentucky 800 Rose St Rm Mn 118, Lexington, KY 40536-1356 | 2016-03-28 |
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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.