Dr. John A Koontz
Family Medicine

Address: 10021 S Western Ave, Oklahoma City, OK 73139-2927
Phone: 4056929300

Dr. John A Koontz (NPI# 1881666071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1881666071
Entity Type Individual
Full Name Dr. John A Koontz
Credential MD
Gender Male
Practice Address 10021 S Western Ave
Oklahoma City
OK 73139-2927
Practice Telephone 4056929300
Practice Fax Number 4056910062
Mailing Address 10021 S Western Ave
Oklahoma City
OK 73139-2927
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-02-02
Last Update Date 2015-08-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians 16458 OK

Other Providers JOHN KOONTZ

NPI Name Taxonomy Address Enumeration
1902194657 John Daniel Koontz Family Medicine 10800 Magnolia Ave, Riverside, CA 92505-3043 2011-07-15

Physician Overview

NPI 1881666071
PAC ID by PECOS 4587746987
Professional Enrollment ID I20110330000810
Full Name John A Koontz
Organization Legal Name MERCY CLINIC OKLAHOMA COMMUNITIES
Phone Number 4057551515
Gender M
Graduation Year 1985
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 1153468921
Number of Group Practice Members 417
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370013 MERCY HOSPITAL OKLAHOMA CITY, INC
370093 OU MEDICAL CENTER
370106 INTEGRIS SOUTHWEST MEDICAL CENTER
370008 NORMAN REGIONAL
370212 OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP

Office Location

Street Address 10021 S WESTERN AVE
City OKLAHOMA CITY
State OK
Zip Code 73139-2927

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518954916 Matthew S. Baker Pharmacist 10021 S Western Ave, Oklahoma City, OK 73139-2927 2005-09-30
1861978637 Nancy-ka Elizabeth Turner Physician Assistant 10021 S Western Ave, Oklahoma City, OK 73139-2927 2018-07-16
1457875056 Laurie Kirkpatrick Boggess Nurse Practitioner 10021 S Western Ave, Oklahoma City, OK 73139-2927 2017-07-26
1619381902 Michelle Laura Stapp Nurse Practitioner 10021 S Western Ave, Oklahoma City, OK 73139-2927 2014-06-16
1053458794 Center for Neurobehavioral Health Clinical Neuropsychologist 10021 S Western Ave, Oklahoma City, OK 73139-2927 2007-01-31
1619013224 Baker & Baker Pharmacy Inc. Pharmacy 10021 S Western Ave, Oklahoma City, OK 73139-2927 2007-01-30
1124131537 Valerie Lanae Hartman Clinical Neuropsychologist 10021 S Western Ave, Oklahoma City, OK 73139-2927 2006-08-17
1548291032 Erin C Rowland-brooks Physician Assistant 10021 S Western Ave, Oklahoma City, OK 73139-2927 2006-07-05
1396718326 Judy Lee Magnusson Family Medicine 10021 S Western Ave, Oklahoma City, OK 73139-2927 2006-02-09
1922070317 William S Bevers Family Medicine 10021 S Western Ave, Oklahoma City, OK 73139-2927 2006-02-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336621770 Mayra Edith Solis Case Manager/Care Coordinator 6510 S. Western Ave Bldg. 400, Oklahoma City, OK 73139 2018-09-01
1619470184 Linzi L Stewart, D.o., P.l.l.c. Obstetrics & Gynecology 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 2018-03-12
1467970467 Oklahoma Healthcare Transitions Inc Home Health 6803 S Western Ave Ste 400, Oklahoma City, OK 73139 2017-08-30
1841714169 Gentry Kyler Jones Case Manager/Care Coordinator 301 W I240 Service Rd, Oklahoma City, OK 73139 2017-07-28
1437688082 Jasmine Small Case Manager/Care Coordinator 6100 S Walker, Okc, OK 73139 2017-06-07
1154866747 Phoay Luan Lee Physician Assistant 1025 Straka Terrace, Oklahoma City, OK 73139 2017-01-05
1689029266 Swalk Operations, LLC Skilled Nursing Facility 315 Sw 80th Street, Oklahoma City, OK 73139 2016-05-02
1225491343 Elizabeth Pratt Counselor 301 Interstate 240 Service Rd, Oklahoma City, OK 73139 2016-04-05
1326418542 Brittany Elis Walley Case Manager/Care Coordinator 8015 S Klein Ave, Oklahoma City, OK 73139 2015-09-30
1699150649 Mary Lee Morris Nurse Practitioner 8100 S. Walker Ave, Building A Suite 230, Oklahoma City, OK 73139 2015-07-20
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871068239 Today Clinic South Okc LLC Family Medicine 1317 Se 44th St Ste I, Oklahoma City, OK 73129-6907 2018-10-11
1083189724 Mi Clinica LLC Family Medicine 4200 S May Ave Ste D, Oklahoma City, OK 73119-3200 2018-10-09
1790267169 Saint Medical Group, LLC Family Medicine 13401 N Western Ave Ste 100, Oklahoma City, OK 73114-1409 2018-09-03
1164977484 Doctors @ Home, Inc Family Medicine 4501 Nw 36th St, Oklahoma City, OK 73122-2404 2016-08-16
1730565912 My Family Clinic LLC Family Medicine 3717 S Western Ave, Oklahoma City, OK 73109-3401 2015-08-10
1316327570 Louise Vo Family Medicine 5915 W Memorial Rd Ste 300, Oklahoma City, OK 73142 2015-06-03
1073901427 Physician's Mobile Health Services Family Medicine 5009 N Pennsylvania Ave Ste 111, Oklahoma City, OK 73112-8888 2015-01-07
1336554492 Mary Ann Joseph Family Medicine 3330 Nw 56th St Ste 220, Oklahoma City, OK 73112-4426 2014-06-27
1700291358 Julie Shelley Family Medicine 2603 Sw 119th St, Oklahoma City, OK 73170 2014-06-23
1316359839 Priya Sahai Family Medicine 13500 S Tulsa Dr Ste 200, Oklahoma City, OK 73170-9720 2014-06-02
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73139

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Dataset Information

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.

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