MRS. PAMELA J. KOENIG (NPI# 1376548446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376548446 |
| Entity Type | Individual |
| Full Name | MRS. PAMELA J. KOENIG |
| Credential | MSN, CRNP |
| Practice Address |
30 Boynton St Eastport ME 04631-1306 |
| Practice Telephone | 2078536001 |
| Practice Fax Number | 2078536180 |
| Mailing Telephone | 2078536001 |
| Mailing Fax Number | 2078536180 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2011-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP111017 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP008472 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1013058240001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053820035 | Pamela Eileen Koenig | Massage Therapist | 250 W Street Rd, Warminster, PA 18974-3207 | 2017-09-22 |
| 1164536371 | Pamela J Koenig | Registered Nurse | 2410 Old Ranch Rd, Escondido, CA 92027-6727 | 2006-08-18 |
| 1063967941 | Pamela Koenig | Massage Therapist | 6531 Winford Ave, Hamilton, OH 45011-0548 | 2016-08-19 |
| Street Address |
30 BOYNTON ST |
| City | EASTPORT |
| State | ME |
| Zip Code | 04631-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346706629 | Calais Regional Hospital | Clinic/Center | 30 Boynton St, Eastport, ME 04631-1306 | 2019-02-12 |
| 1023512548 | Barbara Ann Vittum | Health Educator | 30 Boynton St, Eastport, ME 04631-1306 | 2018-03-20 |
| 1417325176 | Deborah Pottle | Registered Nurse | 30 Boynton St, Eastport, ME 04631-1306 | 2015-09-10 |
| 1063822864 | Barbara A Richardson | Registered Nurse | 30 Boynton St, Eastport, ME 04631-1306 | 2014-05-01 |
| 1528483682 | Tammy Carr | Counselor | 30 Boynton St, Eastport, ME 04631-1306 | 2014-02-26 |
| 1427302272 | David E Brass | Counselor | 30 Boynton St, Eastport, ME 04631-1306 | 2012-11-01 |
| 1932486297 | Kathleen M Dunbar | Dental Hygienist | 30 Boynton St, Eastport, ME 04631-1306 | 2011-11-14 |
| 1871807842 | Jan M Brown | Counselor | 30 Boynton St, Eastport, ME 04631-1306 | 2010-08-02 |
| 1245541721 | Ryan Mathew Smith | Psychiatry & Neurology | 30 Boynton St, Eastport, ME 04631-1306 | 2010-06-29 |
| 1710112925 | Susan Marie Drew | Dental Hygienist | 30 Boynton St, Eastport, ME 04631-1306 | 2009-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164849691 | Eastport Family Pharmacy | Pharmacy | 34 Middle St, Eastport, ME 04631 | 2014-03-21 |
| 1740622836 | Kevin Garner Sample | Social Worker | Eastport Health Care, 30 Boynton Street, Eastport, ME 04631 | 2013-07-18 |
| 1972666337 | Sunrise Opportunities | Community Based Residential Treatment Facility, Mental Illness | 4 Clark St, Eastport, ME 04631-1036 | 2006-12-18 |
| 1952513343 | Charlotte School | Local Education Agency (LEA) | 102 High St # Msu104, Eastport, ME 04631-1110 | 2007-05-05 |
| 1346464625 | Eastport School Department | Local Education Agency (LEA) | 102 High St, Eastport, ME 04631-1110 | 2007-04-11 |
| 1679801773 | School Union 104 | Local Education Agency (LEA) | 100 High St, Eastport, ME 04631-1110 | 2009-12-01 |
| 1578775961 | Pembroke School | Local Education Agency (LEA) | 102 High St # Msu104, Eastport, ME 04631-1110 | 2007-05-05 |
| 1205048691 | Dennysville School Department | Local Education Agency (LEA) | 102 High St # Msu104, Eastport, ME 04631-1110 | 2007-05-05 |
| 1487866877 | Perry School | Local Education Agency (LEA) | 102 High St # Msu104, Eastport, ME 04631-1110 | 2007-05-05 |
| 1437411709 | Quoddy Bay Pharmacy | Pharmacy | 88 Washington St, Eastport, ME 04631-1229 | 2012-06-13 |
| Find all providers in zip 04631 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437101532 | Jeanne Frances Speir | Nurse Practitioner | 21 Eastport Manor Rd, Eastport, NY 11941-1410 | 2006-05-17 |
| 1972588747 | Nanette B Sepik | Nurse Practitioner | 30 Boynton St, Eastport, ME 04631-1306 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788852 | Kimberly Harvell | Nurse Practitioner | 37 Palmer Ln, Ste 3, Calais, ME 04619-1341 | 2020-10-20 |
| 1013515790 | Jana H Christman | Nurse Practitioner | 81 Medical Center Dr Ste 2150, Brunswick, ME 04011-2764 | 2020-10-14 |
| 1114539400 | Granite Hill Family Medicine LLC | Nurse Practitioner | 89 Water St, Hallowell, ME 04347-1477 | 2020-08-19 |
| 1073139465 | Jaclyn Kimberly Foraker | Nurse Practitioner | 885 Union St Ste 215, Bangor, ME 04401-3092 | 2020-06-22 |
| 1962023630 | Amy E Rousseau | Nurse Practitioner | 96 Campus Ave Ste 214, Lewiston Me, ME 04240-6019 | 2020-05-04 |
| 1952921488 | Amanda Rose Robbio | Nurse Practitioner | 244 Lakewood Rd, Skowhegan, ME 04950 | 2020-04-24 |
| 1114566650 | Sadie Garnache-poirier | Nurse Practitioner | 65 W Commercial St Ste 107, Portland, ME 04101-4789 | 2020-01-02 |
| 1902441629 | Jennifer Marie Colpitts | Nurse Practitioner | 1600 Congress St Ste B, Portland, ME 04102-2148 | 2019-11-18 |
| 1710529680 | Natasha Lynn Williamson | Nurse Practitioner | 63 Hurricane Rd, Gorham, ME 04038-2414 | 2019-10-11 |
| 1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
| Find all providers with the same taxonomy | ||||
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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.