MRS. DIANA LOUISE KOENIG (NPI# 1356510895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356510895 |
| Entity Type | Individual |
| Full Name | MRS. DIANA LOUISE KOENIG |
| Other Name | MS. DIANA LOUISE SPENGER |
| Credential | DO |
| Practice Address |
9104 State Hwy 19 Ozarks Medical Center Winona Winona MO 65588 |
| Mailing Address |
1100 Kentucky Avenue Ozarks Medical Center West Plains MO 65775 |
| Practice Telephone | 5733254237 |
| Practice Fax Number | 5733254996 |
| Mailing Telephone | 4172569111 |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2017-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2008008627 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RH MEDICAID | 597780303 | 01 |
| MO | CLIA (LICKING) | 26D0679044 | 01 |
| MO | CLIA (MOB) | 26D0889777 | 01 |
| MO | 1356510895 | 05 | |
| MO | CLIA | 26D1050027 | 01 |
| Street Address |
9104 STATE HWY 19 OZARKS MEDICAL CENTER WINONA |
| City | WINONA |
| State | MO |
| Zip Code | 65588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912487471 | Regional Services | Nurse Practitioner | 248 Hwy 19, Winona, MO 65588 | 2018-08-15 |
| 1295070951 | Lori Dickey | Massage Therapist | 311 Jf Norton Pkwy, Winona, MO 65588 | 2012-12-06 |
| 1538380654 | Mercy Hospital Springfield | Ambulance | 1012 N Highway 19, Winona, MO 65588 | 2007-05-02 |
| 1578666517 | Lexis Medicine Inc | Durable Medical Equipment & Medical Supplies | 8499 Ash St, Winona, MO 65588 | 2006-09-06 |
| 1679993570 | School District 3 Reorganized Shannon County | Local Education Agency (LEA) | Hwy 19 North, Winona, MO 65588 | 2014-04-18 |
| 1558497917 | Ozarks Medical Center | Clinic/Center | 9104 State Highway 19, Winona, MO 65588-8389 | 2007-02-27 |
| 1114438165 | Amanda Caelin Brown | Nurse Practitioner | 9104 State Highway 19, Winona, MO 65588-8389 | 2017-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
| 1770196123 | Brooke Ann Thomas | Occupational Therapist | 627 Middleton Rd Ste 100, Winona, MS 38967-2000 | 2020-08-26 |
| 1821608480 | Raven Symone Barnes | Licensed Vocational Nurse | 18217 Fm 2767, Winona, TX 75792-7023 | 2020-08-07 |
| 1316557416 | Stephanie Melinda Myers | Nurse Practitioner | 700 Woodland Dr # 1530, Winona, MS 38967-1530 | 2020-08-04 |
| 1437769809 | Juanita L Sawyer | Counselor | 1027 E 7th St, Winona, MN 55987-4743 | 2020-07-31 |
| 1235763814 | Monarch Wellness LLC | Clinic/Center | 51 E 4th St Ste 309, Winona, MN 55987-3791 | 2020-02-23 |
| 1023640836 | Kristin Kay Houle | Specialist/Technologist | 364 Johnson St, Winona, MN 55987-3217 | 2020-02-10 |
| 1477104297 | Winona Drugs | Pharmacy | 500 N Applegate St Ste A, Winona, MS 38967-1829 | 2019-09-23 |
| 1063061166 | Dabbs Brothers LLC | Pharmacy | 908 S Applegate St, Winona, MS 38967-3037 | 2019-09-10 |
| 1437708534 | Daniel M Dabbs | Pharmacist | 116 Webster St Apt 2, Winona, MS 38967-2127 | 2019-09-10 |
| Find all providers in WINONA | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659550127 | Steven Dewayne Gammel | Family Medicine | 408 Tyler Holmes Dr, Winona, MS 38967-1522 | 2007-10-31 |
| 1285765081 | Family Medicine of Winona P.a. | Family Medicine | 825 Mankato Ave Ste 210, Winona, MN 55987-4866 | 2007-03-07 |
| 1114052685 | Karen Doreen Vrchota | Family Medicine | 1005 West 5th Street Integrative Healthcare of Winona, Winona, MN 55987 | 2007-02-23 |
| 1013055599 | Rebecca Hodges | Family Medicine | 707 Alberta Dr, Winona, MS 38967-1538 | 2007-02-05 |
| 1912058231 | Grenada Family Medicine Clinic | Family Medicine | 418b N Applegate St, Winona, MS 38967-1827 | 2007-01-15 |
| 1881600492 | Steven Keith Rushing | Family Medicine | 700 Woodland Dr, Winona, MS 38967-1530 | 2006-08-01 |
| 1285649855 | Tyler Holmes Memorial Hospital | Family Medicine | 700 Woodland Drive, Winona, MS 38967 | 2006-07-30 |
| 1700847340 | Rebecca L Lossen | Family Medicine | 825 Mankato Ave, Ste 210, Winona, MN 55987-4866 | 2006-03-31 |
| 1821442534 | Alexandra Sharp | Family Medicine | 855 Mankato Ave, Winona, MN 55987-4868 | 2016-04-19 |
| 1699117572 | Adam C Fletcher | Family Medicine | 855 Mankato Ave, Winona, MN 55987-4868 | 2013-07-22 |
| Find all providers in WINONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.