Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
THADEUS B KOONTZ
Active
Individual
THADEUS B KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M-11984
ID
2084P0800X
Psychiatry Physician
M11984
ID
208D00000X
General Practice Physician
M-11984
ID
Other
Enumeration date
04/28/2009
Last updated
12/31/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up