Stephanie L Koonce MD
NPI 1457071060ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Rogers, AR
Surgery, Plastic and Reconstructive Surgery in Rogers, Arkansas, registered in NPPES in September 2022. The authorized official on file is Stephanie Leighann Koonce, MD, Manager/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457071060 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 1, 2022 |
| Last updated in NPPES | Oct 10, 2023 |
| Certified by provider | Oct 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | — | — |
| Plastic Surgery | 208200000X | — | — |
| Plastic Surgery, Plastic Surgery Within the Head and Neck | 2082S0099X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|