SCOTT CHARLES KOENIG (NPI# 1114965639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114965639 |
Entity Type | Individual |
Full Name | SCOTT CHARLES KOENIG |
Credential | MHPP |
Practice Address |
2205 Phyllis St Bentonville AR 72712-6490 |
Mailing Address |
Po Box 6430 Springdale AR 72766-6430 |
Practice Telephone | 4797502020 |
Practice Fax Number | 4798452109 |
Mailing Telephone | 4797502020 |
Mailing Fax Number | 4798452109 |
Enumeration Date | 2006-06-04 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902148307 | Scott Koenig | Allergy & Immunology | 9640 Medical Center Dr, Rockville, MD 20850-3368 | 2013-03-23 |
1902330699 | Scott Koenig II | Student in an Organized Health Care Education/Training Program | 110 S Paca St, Department of Orthopaedics Sixth Floor, Baltimore, MD 21201-1642 | 2017-04-19 |
1861728487 | Scott D Koenig | Psychologist | 3262 Holiday Ct, Suite 220, La Jolla, CA 92037-0026 | 2009-11-02 |
1003076365 | Scott Jonathan Koenig | Orthopaedic Surgery | 45 Crossways Park Dr W, Woodbury, NY 11797-2002 | 2008-06-11 |
Street Address |
2205 PHYLLIS ST |
City | BENTONVILLE |
State | AR |
Zip Code | 72712-6490 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679520894 | Deborah Lynn Oxner | Registered Nurse | 2205 Phyllis St, Bentonville, AR 72712-6490 | 2006-05-31 |
1467842062 | Krysta Young | Counselor | 2205 Phyllis St, Bentonville, AR 72712-6490 | 2015-02-03 |
1477702470 | Ellen Ann Burleson | Counselor | 2205 Phyllis St, Bentonville, AR 72712-6490 | 2008-09-15 |
1669415139 | Denise Mary Fitzgerald | Social Worker | 2205 Phyllis St, Bentonville, AR 72712-6490 | 2006-06-13 |
1609818814 | Chris Andre Pulliam | Genetic Counselor, MS | 2205 Phyllis St, Bentonville, AR 72712-6490 | 2006-06-12 |
1245277748 | Angelika Aloisia Will | Genetic Counselor, MS | 2205 Phyllis St, Bentonville, AR 72712-6490 | 2006-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
Find all providers in zip 72712 |
Taxonomy Code | 170300000X |
Grouping | Other Service Providers |
Classification | Genetic Counselor, MS |
A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609819549 | Patrick Michael Pinoy | Genetic Counselor, MS | 2205 Phyllis, Bentonville, AR 72712 | 2006-06-14 |
1194740209 | Shara Katishie Mayes | Genetic Counselor, MS | 2508 Se 20th St, Bentonville, AR 72712-4008 | 2006-07-12 |
1609818814 | Chris Andre Pulliam | Genetic Counselor, MS | 2205 Phyllis St, Bentonville, AR 72712-6490 | 2006-06-12 |
1245277748 | Angelika Aloisia Will | Genetic Counselor, MS | 2205 Phyllis St, Bentonville, AR 72712-6490 | 2006-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114467412 | Julie Anna Kaylor | Genetic Counselor, MS | 29 Leisurewood Ln, Maumelle, AR 72113-6208 | 2017-03-06 |
1639540354 | Mary Williams | Genetic Counselor, MS | 4301 W. Markham St. #514, Little Rock, AR 72205-7199 | 2015-10-08 |
1841675121 | Marianne Lotito | Genetic Counselor, MS | 8901 Carti Way Ste 202, Little Rock, AR 72205-6523 | 2015-07-28 |
1205222007 | Melinda Elizabeth Simonson | Genetic Counselor, MS | 4301 W. Markham St. Slot #793, Little Rock, AR 72205-7199 | 2015-04-09 |
1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
1396758975 | Edward Sylvester Coleman | Genetic Counselor, MS | 2466 S. 48 St, Springdale, AR 72762 | 2006-08-14 |
1902819683 | Tina Michele Mcclure | Genetic Counselor, MS | 2466 South 48th St., Springdale, AR 72762 | 2006-08-14 |
1760410740 | Cynthia Lim | Genetic Counselor, MS | 800 Marshall St # 512-22, Little Rock, AR 72202-3510 | 2006-06-29 |
1811923741 | Kim Arehart Knapp | Genetic Counselor, MS | 208 Hwy 62 West, Berryville, AR 72616 | 2006-06-23 |
1972541472 | Nancy P Kahanak | Genetic Counselor, MS | 3277 W Sunset Ave, Springdale, AR 72762-4980 | 2006-06-04 |
Find all providers with the same taxonomy |
City | BENTONVILLE |
Zip Code | 72712 |
Please comment or provide details below to improve the information on SCOTT CHARLES KOENIG.
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.