Joel C Konikow, MD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

MD00014204 Issued in WA

Practice address

600 Broadway
Suite 530
Seattle, WA 98122-5229

Phone

(206) 789-5418

Fax

(206) 784-9744

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1215007091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1643",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980401643",
            "telephone_number": "206-789-5418",
            "fax_number": "206-784-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BROADWAY",
            "address_2": "SUITE 530",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225229",
            "telephone_number": "206-789-5418",
            "fax_number": "206-784-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONIKOW",
        "first_name": "JOEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "WA",
            "license": "MD00014204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015306",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Kong, MSW, LICSW
• Stanley Kong, ARNP
• Tracie Yiqing Kong, MD
• Thai Kongchunji
• Elizabeth Konichek, PH.D.
• Claire Elise Jackson Koning, MOTR/L
• Barbara A Konkle, MD
• Eric Quentin Konnick, MD
• Victoria Jane Konold
• Konstantin Karmazin, M.D. PLLC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.