Individual provider Active NPI

Katarzyna Anne Kohler, DO

  • Family Medicine Physician
  • Washington, MO
National Provider Identifier
1033420237
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2013021038 Issued in MO
Practice address
901 Patients First Dr
Suite 1200
Washington, MO 63090-4700
Phone
(636) 390-1777
Fax
(636) 390-1778
NPI assigned
Jun 23, 2010
Last updated
Nov 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 94-07490 KS
Family Medicine Physician 207Q00000X 2013021038 MO Primary

Addresses

Primary practice location

901 Patients First Dr
Suite 1200
Washington, MO 63090-4700

Mailing address

930 Hayes Dr
Ste B
Manhattan, KS 66502-5721
Phone (785) 587-4101

Other names 1

  • Katarzyna Szymanek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 15, 2024 through May 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
94-07490KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Little Flower Family Medicine, LLC Family Medicine PastSince Oct 2, 2022 Accepting new patients
Physician Specialists of St Lukes LLC Family Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1033420237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 HAYES DR",
            "address_2": "STE B",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665025721",
            "telephone_number": "785-587-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PATIENTS FIRST DR",
            "address_2": "SUITE 1200",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904700",
            "telephone_number": "636-390-1777",
            "fax_number": "636-390-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "KATARZYNA",
        "middle_name": "ANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "94-07490",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2013021038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATARZYNA",
            "last_name": "SZYMANEK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, MO

Sources for this page

Verify at the official NPI Registry.