MR. MICHAEL WILLIAM KOENIG (NPI# 1457317422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457317422 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL WILLIAM KOENIG |
| Credential | PA-C |
| Practice Address |
442 West High Street Midwest Community Health Associates Bryan OH 43506 |
| Practice Telephone | 4196364517 |
| Practice Fax Number | 4196366438 |
| Mailing Telephone | 4196364517 |
| Mailing Fax Number | 4196366438 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2010-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 103933 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDCOST | D1248 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962022020 | Michael Koenig | Registered Nurse | 1614 Dexter Lake Dr Apt 304, Cordova, TN 38016-1320 | 2020-04-19 |
| 1720171093 | Michael G Koenig | Pediatrics | 2 Terminal Dr Ste 8, East Alton, IL 62024-2294 | 2006-10-01 |
| 1851396386 | Michael R Koenig | Family Medicine | 856 Banks Lowman Rd, Garden Valley, ID 83622-8102 | 2005-06-21 |
| 1447818117 | Michael Harris Koenig | Student in an Organized Health Care Education/Training Program | 719 Thompson Ln Ste 38500, Nashville, TN 37204-3615 | 2019-05-29 |
| Street Address |
442 WEST HIGH STREET MIDWEST COMMUNITY HEALTH ASSOCIATES |
| City | BRYAN |
| State | OH |
| Zip Code | 43506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073595757 | Thomas A. Losey | Family Medicine | 442 West High Street, Midwest Community Health Associates, Bryan, OH 43506 | 2005-11-17 |
| 1619357878 | Kendra R Feltz | Physical Therapy Assistant | 442 West High Street, Ppg-oh Midwest Community Health Associates, Bryan, OH 43506 | 2015-06-03 |
| 1063811768 | Jennifer L. Wieland | Physical Therapist | 442 West High Street, Ppg-oh/midwest Community Health Associates, Inc., Bryan, OH 43506 | 2014-08-19 |
| 1568873883 | Kelly Joe Bratsberg | Dentist | 442 West High Street, Suite 2, Bryan, OH 43506 | 2014-05-09 |
| 1477852747 | Nicole R Young | Physician Assistant | 442 West High Street, Midwest Community Health Associates, Bryan, OH 43506 | 2011-03-25 |
| 1295959237 | Shea Micheal Walkup | Dentist | 442 West High Street, Suite 2, Bryan, OH 43506 | 2007-04-12 |
| 1083631063 | Jaganmohan R Vemulapalli | Urology | 442 West High Street, Midwest Community Health Associates, Bryan, OH 43506-1681 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750883203 | Jennifer Spangler | Massage Therapist | 228 S. Main St., Bryan, OH 43506 | 2018-03-01 |
| 1922547215 | Alissa Niswonger | Specialist/Technologist | 106 Avenue B, Bryan, OH 43506 | 2017-02-20 |
| 1902140320 | Marcia Jean Slabaugh | Physical Therapy Assistant | 5299 County Road 1575, Bryan, OH 43506 | 2012-11-26 |
| 1215086640 | Filling Memorial Home Cardinal | Intermediate Care Facility, Mentally Retarded | 1211 Cardinal Drive, Bryan, OH 43506 | 2007-01-08 |
| 1396855714 | Williams County Transport | Ambulance | 05842 St Rt 15, Bryan, OH 43506 | 2006-08-30 |
| 1982635603 | Americare Health Services LLC | Durable Medical Equipment & Medical Supplies | 121 E South St, Bryan, OH 43506 | 2006-07-05 |
| 1174561963 | Richard U Baldwin | Emergency Medicine | 433 W. High St., Bryan, OH 43506 | 2006-06-03 |
| 1841298296 | Claire Laree Osborn | Family Medicine | Activate Healthcare/500 W Mulberry St., Suite 101, Bryan, OH 43506 | 2005-07-11 |
| 1225519762 | Fountain City Chiropractic & Rehabilitation, Inc | Chiropractor | 1525 W High St, Ste A, Bryan, OH 43506 | 2018-08-23 |
| 1720584949 | Andrea J Yahraus | Optometrist | 1313 W High St, Bryan, OH 43506 | 2018-04-05 |
| Find all providers in zip 43506 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952627242 | Cody Van Emery | Physician Assistant | 3201 University Dr E Ste 135, Bryan, TX 77802-3481 | 2010-04-13 |
| 1417093998 | Thomas Gayle Powell | Physician Assistant | 1600 Joseph Dr Ste 2202, Bryan, TX 77802-1502 | 2007-01-30 |
| 1700971074 | Amber Anise Mick | Physician Assistant | 3201 University Dr. E, Ste 205, Bryan, TX 77802-3482 | 2006-10-04 |
| 1497317960 | Victoria P Davis | Physician Assistant | 8441 State Highway 47 Ste 4300, Bryan, TX 77807-3235 | 2019-07-03 |
| 1609334556 | Williams Emergency Group, LLC | Physician Assistant | 433 W High St, Bryan, OH 43506-1690 | 2019-03-11 |
| 1023500709 | Ava Smith | Physician Assistant | 8441 State Highway 47 Ste 1400, Bryan, TX 77807-3208 | 2018-05-30 |
| 1275060360 | Lauren Alexandra Mckay | Physician Assistant | 3201 University Dr E Ste 135, Bryan, TX 77802-3481 | 2017-05-19 |
| 1437517539 | Michael Kenneth Freund | Physician Assistant | 2801 Franciscan Dr, Bryan, TX 77802 | 2016-02-03 |
| 1982079315 | Keri Leigh Moon | Physician Assistant | 3201 University Dr E, Ste 245, Bryan, TX 77802-3483 | 2015-12-10 |
| 1295129153 | Jonathan Ponder | Physician Assistant | 8441 State Highway 47, Suite 4300, Bryan, TX 77807-3207 | 2015-03-27 |
| Find all providers in BRYAN | ||||
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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.