Individual provider Active NPI

William G. Koehne, M.D.

  • Specialist
  • Salinas, CA
National Provider Identifier
1124124540
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G21938 Issued in CA
Practice address
610 E Romie LN
Suite 2
Salinas, CA 93901-4209
Phone
(831) 422-9001
Fax
(831) 422-0577
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G21938 CA Primary

Addresses

Primary practice location

610 E Romie LN
Suite 2
Salinas, CA 93901-4209

Mailing address

610 E Romie LN
Suite 2
Salinas, CA 93901-4209
Phone (831) 422-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G21938CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Romie Lane Pediatric Group, Inc Specialist Past Accepting new patients
Salinas Valley Memorial Healthcare System 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1124124540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E ROMIE LN",
            "address_2": "SUITE 2",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014209",
            "telephone_number": "831-422-9001",
            "fax_number": "831-422-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E ROMIE LN",
            "address_2": "SUITE 2",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014209",
            "telephone_number": "831-422-9001",
            "fax_number": "831-422-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHNE",
        "first_name": "WILLIAM",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G21938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.