Active NPI
Katarzyna Anne Kohler, DO
- Family Medicine Physician
- Washington, MO
National Provider Identifier
1033420237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2013021038
- 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, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 94-07490 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Flower Family Medicine, LLC | Family Medicine | Past | 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.
-
dba Little Flower Family Medicine
- Family Medicine Physician
- O'Fallon, MO
- NPI 1144568999
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1235168410
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.