Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clint Jeremy Koenig, MD

Individual provider Family Medicine Physician · NPI 1124000781

Clint Jeremy Koenig, MD is a Family Medicine Physician in Columbus, Ohio. Works from 2 locations. Licensed in New York and Ohio.

Licensed in
NY, OH
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

697 Thomas Ln
Columbus, OH 43214-3931
Phone: (614) 566-5414
Fax: (614) 533-0433
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 777 Clinton Ave S, Rochester, NY 14620-1448 — (585) 279-4800

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35085021 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 246840-1 (NY)

Record details

NPI number1124000781
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 18, 2005
Last updated in NPPESJanuary 25, 2022
Certification dateApril 17, 2020

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