Individual
THOMAS MARTIN KOENIG
Active
Individual
THOMAS MARTIN KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD0000023543
TN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD0000023543
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0525270001
MEDICARE DMERC
TN
01
—
0940377
UNITED HEALTHCARE
TN
01
—
168472
BLUE CROSS OF TENNESSEE
TN
01
—
200016210
RAILROAD MEDICARE
TN
01
—
4857601
CIGNA HEALTHCARE
TN
01
—
TN0101
JOHN DEERE
TN
Enumeration date
01/03/2007
Last updated
05/05/2022
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