ECOSSE PLASTIC SURGERY – NPI #1457071060
Surgery
A surgeon who specializes in plastic and reconstructive surgery.
ECOSSE PLASTIC SURGERY is a surgeon located in ROGERS, AR. NPPES has assigned the NPI number 1457071060 to ECOSSE PLASTIC SURGERY on September 01, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ECOSSE PLASTIC SURGERY” is a dba name, the actual legal business name for this organization is STEPHANIE L KOONCE MD. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery
The NPI profile was previously updated about 3 years ago on Oct 10, 2023. 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 ECOSSE PLASTIC SURGERY below.
NPI Profile for
STEPHANIE L KOONCE MD
(about 4 years ago)
ROGERS, AR 72758-7700 Phone: (479) 276-6888 Fax: (479) 309-4222
1 Other location(s):
Fort Smith, AR 72903-4281
Phone: (479) 276-6888
Fax: (470) 309-4222
FORT SMITH, AR 72903-4320 Phone: (479) 719-0862 Fax:
MANAGER/OWNER
Phone: (479) 719-0862
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for ECOSSE PLASTIC SURGERY
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 |
|---|---|---|---|
| medicaid | AR | 227580001 | |
| medicaid | OK | 200783620A |
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 |
|---|---|---|
| 2086S0122X - Surgery / Plastic and Reconstructive Surgery (Primary) |
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| 2082S0099X - Plastic Surgery / Plastic Surgery Within the Head and Neck |
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| 208200000X - Plastic Surgery |
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.