Active NPI
Eleanor Koerner, PA-C
- Medical Physician Assistant
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C05687
- Practice address
- 9801 Georgia Ave
Suite 224
Silver Spring, MD 20902-5276 - Phone
- (301) 593-9800
- NPI assigned
- Feb 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C05687 | MD | Primary |
Addresses
Primary practice location
9801 Georgia Ave
Suite 224
Silver Spring, MD 20902-5276
Mailing address
9801 Georgia Ave
Suite 224
Silver Spring, MD 20902-5276
Phone (301) 593-9800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10538 Mission Gorge Rd
Suite 100
Santee, CA 92071-3154
Phone (619) 456-0033
1740 Rosecrans St
San Diego, CA 92106-1928
Phone (619) 790-7800
8590 Rio San Diego Dr
Suite 111
San Diego, CA 92108-5597
Phone (619) 736-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C05687 | MD | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somagen Healthcare Inc | Current | Accepting new patients | |
| American Current Care of California, a Medical Corporation | Current | Accepting new patients | |
| Somagen Healthcare Inc | Current | Accepting new patients | |
| American Current Care of California, a Medical Corporation | Current | Accepting new patients | |
| Somagen Healthcare Inc | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Somagen Healthcare Inc | Past | Accepting new patients | |
| Somagen Healthcare Inc | Past | Accepting new patients | |
| Somagen Healthcare Inc | Past | Accepting new patients |
Locations
760 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 821-2300
750 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 259-9462
8260 Mira Mesa Blvd
Ste A
San Diego, CA 92126
Phone (855) 362-9773
8590 Rio San Diego Dr
Ste 111
San Diego, CA 92108
Phone (619) 736-4600
1740 Rosecrans St
San Diego, CA 92106
Phone (619) 790-7800
5671 Balboa Ave
San Diego, CA 92111
Phone (855) 362-9773
Interoperability endpoints
- ekoerner720114@hisp.ehr.sutterhealth.org
Organizations & group practices 12
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.
-
- Urgent Care Clinic/Center
- Santee, CA
- NPI 1396058137
-
- Clinic/Center
- Los Angeles, CA
- NPI 1750573622
-
- Emergency Medicine Physician
- Rockville, MD
- NPI 1912911215
-
- Internal Medicine Physician
- Frederick, MD
- NPI 1093322257
-
- Urgent Care Clinic/Center
- Ontario, CA
- NPI 1811464084
-
- Urgent Care Clinic/Center
- Granada Hills, CA
- NPI 1043667660
-
- Urgent Care Clinic/Center
- San Diego, CA
- NPI 1558788620
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Urgent Care Clinic/Center
- San Diego, CA
- NPI 1770015901
-
- Urgent Care Clinic/Center
- San Diego, CA
- NPI 1952995466
-
- Urgent Care Clinic/Center
- San Diego, CA
- NPI 1992237127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1841681103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9801 GEORGIA AVE",
"address_2": "SUITE 224",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209025276",
"telephone_number": "301-593-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 GEORGIA AVE",
"address_2": "SUITE 224",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209025276",
"telephone_number": "301-593-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOERNER",
"first_name": "ELEANOR",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-09",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C05687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.