David Wayne Koontz, MD
Internal Medicine in Greenville, SC. Individual provider (NPI-1).
NPI number1750366647
StatusActive
Last updated in NPPESApr 18, 2012
Details
- NPI
- 1750366647
- Entity type
- Individual (NPI-1)
- Name
- David Wayne Koontz
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2005
- Last updated
- Apr 18, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 22464 | SC | Yes |
Practice location
1025 Verdae BlvdSuite A
Greenville, SC 29607-4032
Phone 864-242-4683 · Fax 864-240-8104
Mailing address
1 Independence PtSuite 212
Greenville, SC 29615-4545
Phone 864-797-6044
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