Individual provider Active NPI

Sarah E Koonce, PA-C

  • Surgical Physician Assistant
  • Newton, MA
National Provider Identifier
1023318037
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA4085 Issued in MA
Practice address
299 Washington St
Newton, MA 02458-1612
Phone
(617) 219-6300
Fax
(617) 219-6366
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA4085 MA Primary

Addresses

Primary practice location

299 Washington St
Newton, MA 02458-1612

Mailing address

299 Washington St
Newton, MA 02458-1612
Phone (617) 219-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110106000293 MA Practitioner - Physician Assistant 5395934384 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Wellesley Orthopedic Associates IncGroup PAC ID 0042287591, 25 clinicians

Practice addresses (Care Compare)

2000 Washington St
Suite 341
Newton, MA 02462-1625
Phone (617) 964-0024

Hospital & facility affiliations

  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Spaulding Rehabilitation Hospital Inpatient rehabilitation facility, Charlestown, MA, CCN 223034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA4085MAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Wellesley Orthopedic Associates Inc CurrentSince Feb 1, 2024 Accepting new patients

Locations

2000 Washington St
Ste 341
Newton Lower Falls, MA 02462
Phone (617) 964-0024

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

40 Washington St
Ste 130
Wellesley Hills, MA 02481
Phone (617) 738-0857

54 Washington St
Wellesley Hills, MA 02481
Phone (781) 237-0400

Interoperability endpoints

  • Direct secure messaging: koonce.sarah.tbsg@direct.partners.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1023318037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581612",
            "telephone_number": "617-219-6300",
            "fax_number": "617-219-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581612",
            "telephone_number": "617-219-6300",
            "fax_number": "617-219-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONCE",
        "first_name": "SARAH",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA4085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.