NPIMap

Organization Active NPI

Paragon Iom, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Plano, TX
National Provider Identifier
1396194676
Registry record updated May 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
Q0953 Issued in TX
Legal business name
PARAGON IOM, LLC
Practice address
6957 W Plano Pkwy
Suite 2300
Plano, TX 75093-1620
Phone
(469) 252-4777
Fax
(469) 518-2156
NPI assigned
Jun 8, 2016
Last updated
May 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2017

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

Authorized official

Name
Dr. Jonathan Conrad Koning, MDNPI 1710216841
Title
President
Phone
(469) 252-4777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X Q0953 TX Primary

Addresses

Primary practice location

6957 W Plano Pkwy
Suite 2300
Plano, TX 75093-1620

Mailing address

6957 W Plano Pkwy
Suite 2300
Plano, TX 75093-1620
Phone (469) 252-4777

National Provider Directory

National Provider Directory
Tax ID family
Paragon Iom LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494028800000",
    "number": "1396194676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6957 W PLANO PKWY",
            "address_2": "SUITE 2300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750931620",
            "telephone_number": "469-252-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6957 W PLANO PKWY",
            "address_2": "SUITE 2300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750931620",
            "telephone_number": "469-252-4777",
            "fax_number": "469-518-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON IOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2017-05-06",
        "status": "A",
        "authorized_official_last_name": "KONING",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-252-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "Q0953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2017; 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.