Robert Konigsberg, D.O.
Individual provider Active NPI Obstetrics & Gynecology Physician · Greenback, TN
NPI 1669880894 · NPPES record last updated Jul 31, 2014
Key facts
- NPI
- 1669880894
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 24703 (CO)
- Practice address
- 5425 Evergreen Farms LN
Greenback, TN 37742-3432 - Phone
- (303) 697-1176
- NPI assigned
- Jul 31, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24703 | CO | MD | Obstetrics & Gynecology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 24703 | CO | Yes |
Addresses
Primary practice location
5425 Evergreen Farms LN
Greenback, TN 37742-3432
Mailing address
5425 Evergreen Farms LN
Greenback, TN 37742-3432
Phone (303) 697-1176
Other providers in Greenback, TN
- Sydney Armstrong
- James R. Elrod
- Megan Meleah Haynes
- K. Darrel Clabough DDS, P.C.
- Christine McCracken
- Rerouting Reality, PLLC
- Roots Pediatric Occupational Therapy LLC
- Heather L Stevens
All providers in Greenback, TN · Obstetrics & Gynecology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.