CLYDE H. KOONTZ MD – NPI #1184617607
Internal Medicine
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
CLYDE KOONTZ is a physician located in TACOMA, WA. NPPES has assigned the NPI number 1184617607 to CLYDE KOONTZ on August 30, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Critical Care Medicine
The NPI profile was previously updated about 18 years ago on Sep 12, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLYDE KOONTZ below.
NPI Profile for
CLYDE H. KOONTZ
(about 21 years ago)
SUITE 401
TACOMA, WA 98405-4252 Phone: (253) 572-5140 Fax: (253) 272-0419
TACOMA, WA 98405-4266 Phone: (253) 572-5140 Fax: (253) 272-0419
Identifiers for CLYDE KOONTZ
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | RR MEDICARE | WA | 756291101 |
| MEDICAID | WA | 13531-01 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RC0200X - Internal Medicine / Critical Care Medicine (Primary) |
WA | 14794 |
| 207RP1001X - Internal Medicine / Pulmonary Disease |
WA | 14794 |
| 207R00000X - Internal Medicine |
WA | 14794 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.