DR. SARA KOENIG (NPI# 1720253339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720253339 |
| Entity Type | Individual |
| Full Name | DR. SARA KOENIG |
| Credential | MD, MBA |
| Practice Address |
1000 Darrington Dr Cary NC 27513-8134 |
| Mailing Address |
211 Waterside Dr Carrboro NC 27510-1288 |
| Practice Telephone | 9193385620 |
| Mailing Telephone | 5053775406 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZB0001X |
Pathology Specialization: Blood Banking & Transfusion Medicine |
2009-00706 | NC | Allopathic & Osteopathic Physicians |
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
2009-00706 | NC | Allopathic & Osteopathic Physicians |
| Y | 2083A0300X | 2009-00706 | NC |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 211 Waterside Dr, Carrboro, NC 27510 | 5053775406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336478007 | Sara M Koenig | Nurse Practitioner | 621 S New Ballas Rd Ste 4017b, Saint Louis, MO 63141-8269 | 2009-12-09 |
| 1144475112 | Sara Koenig | Nurse Practitioner | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2008-11-18 |
| Street Address |
1000 DARRINGTON DR |
| City | CARY |
| State | NC |
| Zip Code | 27513-8134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730101213 | Joseph Andrew Franklin | Plastic Surgery | 1000 Darrington Dr, Cary, NC 27513 | 2006-07-24 |
| 1427486646 | Priscilla Louise Petrash | Physician Assistant | 1000 Darrington Dr, Suite 104, Cary, NC 27513-8134 | 2013-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525155 | Erikare At Home | In Home Supportive Care | 1750 Nw Maynard Road, Ste 100, Office 103, Cary, NC 27513 | 2020-07-13 |
| 1811527583 | Octavia Shada Allen | Behavior Technician | 15501 Western Parkway Suite 130, Cary, NC 27513 | 2020-01-22 |
| 1790249605 | Carolyn Ann Berlin | Nurse Practitioner | 3600 Northwest Cary Pkwy. Suite 104, Cary, NC 27513 | 2019-01-24 |
| 1346722550 | Wesley B Smith Dds Pa | Dentist | 130 Preston Executive Drive Suite 203, Cary, NC 27513 | 2018-09-04 |
| 1366920852 | Tsua Lor | Dentist | 3122 Lakeside View Ct, Cary, NC 27513 | 2018-08-06 |
| 1184133894 | Rebekah Lee Crisp | Occupational Therapist | Leagacy Healthcare Services At Searstone, 210 Walker Stone Drive, Cary, NC 27513 | 2017-09-26 |
| 1790203354 | Babies On The Move LLC | Physical Therapist | 100 Cavendish Dr, Cary, NC 27513 | 2017-09-05 |
| 1790157881 | Riccobene & Associates Xii, Dds, P.a. | Clinic/Center | 1203 Nw Maynard Road, Cary, NC 27513 | 2015-10-28 |
| 1508237413 | Riccobene & Associates Xv, Dds, P.a. | Clinic/Center | 1203 Northwest Maynard Road, Cary, NC 27513 | 2015-10-19 |
| 1104293356 | Katherine J Gooding | Audiologist-Hearing Aid Fitter | 301 Maynard Crossing Court, Cary, NC 27513 | 2015-08-24 |
| Find all providers in zip 27513 | ||||
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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.