CLYDE HARRY KOONTZ MD
NPI 1184617607
Internal Medicine - Critical Care Medicine in Tacoma, WA

Active since August 30, 2005
316 MARTIN LUTHER KING JR WAY, SUITE 401, TACOMA, WA 98405(253) 572-5140(253) 272-0419 Get Directions Write a Review

NPPES record last updated: September 12, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clyde Harry Koontz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLYDE HARRY KOONTZ MD (NPI 1184617607) is an individual critical care medicine provider in Tacoma, Washington, licensed in Washington (14794) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1184617607
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameCLYDE HARRY KOONTZCredential: MD
Location Address316 MARTIN LUTHER KING JR WAY, SUITE 401Tacoma, WA 98405-4252
Mailing Address316 Martin Luther King Jr Way Ste 401Tacoma, WA 98405-4266 · (253) 572-5140 · Fax (253) 272-0419
Fax(253) 272-0419
Sole ProprietorNo
Enumeration DateAugust 30, 2005
Last NPPES UpdateSeptember 12, 2008
NPI 1184617607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in WA · 14794
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 14794 (WA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 14794 (WA)
316 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405

Other Identifiers 4

Medicare PING8805653-KING COWA
Medicaid13531-01WA
Medicare PING001000602-PIERCE COWA
Other756291101WA · Rr Medicare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
316 MARTIN LUTHER KING JR WAY, SUITE 212
TACOMA, WA 98405
Family Medicine
316 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Psychiatry & Neurology (Clinical Neurophysiology)
316 MARTIN LUTHER KING JR WAY, #408
TACOMA, WA 98405
Urology
316 MARTIN LUTHER KING JR WAY, SUITE 312
TACOMA, WA 98405
Urology
316 MARTIN LUTHER KING JR WAY, SUITE 312
TACOMA, WA 98405
Audiologist
316 MARTIN LUTHER KING JR WAY, SUITE 305
TACOMA, WA 98405
Allergy & Immunology
316 MARTIN LUTHER KING JR WAY, 212
TACOMA, WA 98405
Specialist
316 MARTIN LUTHER KING JR WAY, SUITE 304
TACOMA, WA 98405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clyde Koontz's NPI number?

The NPI number for Clyde Koontz is 1184617607. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Clyde Koontz located?

Clyde Koontz practices at 316 Martin Luther King Jr Way Suite 401, Tacoma, WA 98405. The listed phone number is (253) 572-5140.

What is Clyde Koontz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

When was this NPI record last updated?

The NPPES record for Clyde Koontz was last updated on September 12, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.