Michael R. Konikoff
M.D. | Pediatric Gastroenterology | Male
Michael R. Konikoff, M.D. is a Norfolk, Virginia based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Michael R. Konikoff is
601 Childrens Ln, Norfolk, Virginia - 23507-1910. He can be contacted on phone at
757-668-7240 and fax number 757-668-7721.
Michael R. Konikoff is a sole proprietor of his business.
NPI number (Unique professional ID) for Michael R. Konikoff is
1164467114 which was assigned by NPPES on 16 Jun, 2006 and it was last updated on 16 Dec, 2009.
Michael R. Konikoff license number is
0101239467 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Virginia.
Michael R. Konikoff specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Michael R. Konikoff basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
|---|
| Provider Name : | Michael R. Konikoff |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Michael R. Konikoff address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 601 Childrens Ln
Norfolk, VA, 23507-1910
United States |
|---|
| Phone Number : | 757-668-7240 |
|---|
| Fax Number : | 757-668-7721 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1164467114 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 16 Jun, 2006 |
|---|
| Last Updated On : | 16 Dec, 2009 |
|---|
Medicare Participation:
Michael R. Konikoff participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 2567447600 |
|---|
| Medicare Enrollment ID : | I20060509000894 |
|---|
| Primary Specialty : | Gastroenterology |
|---|
| Medical School : | Vanderbilt University School Of Medicine |
|---|
| Graduation Year : | 2000 |
|---|
| Accepts Medicare? | Yes. Michael R. Konikoff accepts medicare insurance. |
|---|
Group Practice Association:
Michael R. Konikoff is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Michael R. Konikoff is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Childrens Specialty Group Pllc | 5890788764 | 59 | 601 Childrens Ln
Norfolk, VA - 235071910
Ph: 7576687200 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael R. Konikoff are as mentioned. Primary taxonomy code for Michael R. Konikoff, M.D. is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 0101239467 | VA |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 0101239467 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Michael R. Konikoff such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 010259525 | MEDICAID | VA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 79137
Baltimore, MD, 21279-0137
United States |
|---|
| Phone Number : | 757-668-7200 |
|---|
| Fax Number : | 757-668-9691 |
|---|
Business Location:
Patients can refer following map for directions to
Michael R. Konikoff practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.