DR. LAURA PINKSTON KOENIGS (NPI# 1871513200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871513200 |
| Entity Type | Individual |
| Full Name | DR. LAURA PINKSTON KOENIGS |
| Credential | MD |
| Practice Address |
50 Wason Ave Springfield MA 01107-1274 |
| Mailing Address |
280 Chestnut St 2nd Floor Springfield MA 01199-1001 |
| Practice Telephone | 4137945437 |
| Practice Fax Number | 4137949008 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
58075 | MA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 58075 | MA | Allopathic & Osteopathic Physicians |
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
58075 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
50 WASON AVE |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265413009 | Anastasios G Angelides | Pediatrics | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2005-11-09 |
| 1932727203 | Georgianna Rose Shea | Nurse Practitioner | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2020-07-13 |
| 1588118350 | Courtney Manning | Genetic Counselor, MS | 50 Wason Ave, Springfield, MA 01107-1274 | 2016-08-10 |
| 1457708455 | Samantha Mccarthy | Dietitian, Registered | 50 Wason Ave, Springfield, MA 01107-1274 | 2016-05-19 |
| 1881057800 | Baystate Developmental Behavioral Pediatrics | Psychologist | 50 Wason Ave, 1st. Floor, Springfield, MA 01107-1274 | 2016-03-29 |
| 1912370438 | Brenda Peters | Behavioral Analyst | 50 Wason Ave, Springfield, MA 01107-1132 | 2015-11-05 |
| 1053795351 | Shayl Griffith | Student in an Organized Health Care Education/Training Program | 50 Wason Ave, Springfield, MA 01107-1132 | 2015-07-16 |
| 1043620859 | Lisa Laprade | Dietitian, Registered | 50 Wason Ave, 1st Floor, Springfield, MA 01107-1132 | 2014-05-01 |
| 1245650225 | Baystate Pharmacy | Pharmacy | 50 Wason Ave, Springfield, MA 01107-1132 | 2014-04-17 |
| 1669898565 | Ruth Kurniawati | Physician Assistant | 50 Wason Ave, Springfield, MA 01107-1132 | 2014-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043693773 | Farid Zahedieh | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2015-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013385137 | Curx Family and Urgent Care | Family Medicine | 160 Merrimack St, Methuen, MA 01844-6117 | 2015-09-05 |
| 1629187273 | Joanne E Cox | Family Medicine | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-08-29 |
| 1770529174 | Jennifer L Kahn | Family Medicine | Greater Lawrence Family Health Center, 150 Park Street, Lawrence, MA 01841 | 2006-06-22 |
| 1043259039 | Jose A Guerra | Family Medicine | 11 Shore Rd, Winchester, MA 01890-2855 | 2006-06-05 |
| City | SPRINGFIELD |
| Zip Code | 01107 |
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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.