Katherine McKenna Kottwitz, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

01086007 Issued in IN

Practice address

111 S Green River Rd Ste F
Evansville, IN 47715-7338

Phone

(812) 436-1203

NPI assigned

Jun 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Katherine Eleanor McKenna Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Deaconess Clinic Inc.

  • Family Medicine Physician
  • Newburgh, IN
  • NPI 1033365986

  Plastic and Reconstructive Surgery

  NPD
• Deaconess Clinic Inc.

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1619123585
  NPD

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1194130948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S GREEN RIVER RD STE F",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157338",
            "telephone_number": "217-414-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GREEN RIVER RD STE F",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157338",
            "telephone_number": "812-436-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTWITZ",
        "first_name": "KATHERINE",
        "middle_name": "MCKENNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "KY",
            "license": "53847",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IN",
            "license": "01086007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "MCKENNA",
            "middle_name": "ELEANOR",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Elaine Korthaus, AGACNP-BC
• Theodore Thomas Korty, DO
• Laura A Kostbade, OTR
• Meghann Kostrzebski
• Pauline Kothe
• Michael Kottwitz, M.D.
• Faith Kowalski
• Bhargav Bharatkumar Koyani
• Ryan Krack, DC
• Kyle William Kraft, PA-C

• Plastic Surgery Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Plastic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.