Stephanie L Koonce MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

STEPHANIE L KOONCE MD

Practice address

3301 S Market St Ste 205
Rogers, AR 72758-7700

Phone

(479) 276-6888

Fax

(479) 309-4222

NPI assigned

Sep 1, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Leighann Koonce, MDNPI 1750612727

Title

Manager/Owner

Phone

(479) 719-0862

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Ecosse Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Leighann Koonce, M.D.

  • Plastic Surgery Physician
  • Rogers, AR
  • NPI 1750612727
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1457071060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MILE TREE DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034320",
            "telephone_number": "479-719-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 S MARKET ST STE 205",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727587700",
            "telephone_number": "479-276-6888",
            "fax_number": "479-309-4222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 Dallas St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729034281",
            "country_code": "US",
            "telephone_number": "479-276-6888",
            "fax_number": "470-309-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEPHANIE L KOONCE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "KOONCE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "LEIGHANN",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "479-719-0862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227580001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200783620A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ecosse Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ecosse Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brynne Starr, BCBA
• Claudia B Starr, PT
• Linda Burton Steadman, PHYSICAL THERAPIST
• Jessica Steed, LMT
• Matthew Glen Steed, M.D.
• Stephen a Irwin, MD, PLLC
• Stephen a. Joseph, P.T. P.a.
• Alyssa Kobi Stephens, PA-C
• Anthony Stephens, PHARMD
• Brian Todd Stephens, LAC

• Plastic and Reconstructive Surgery Physician in Rogers, AR
• Providers in Rogers, AR by specialty
• Plastic and Reconstructive Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.