Active NPI
Donna Marie Koning, M.D.
- Neurology Physician
- Stillwater, MN
National Provider Identifier
1205883964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 48160
- Practice address
- 1500 Curve Crest Blvd W
Stillwater, MN 55082-6040 - Phone
- (651) 439-1234
- Fax
- (651) 275-3325
- NPI assigned
- May 28, 2006
- Last updated
- Feb 28, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 48160 | MN | Primary |
Addresses
Primary practice location
1500 Curve Crest Blvd W
Stillwater, MN 55082-6040
Mailing address
8170 33Rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182112 | Other | MN | UCARE |
| 34805000 | Medicaid | WI | |
| 803882100 | Medicaid | MN | |
| HP57354 | Other | MN | HEALTHPARTNERS |
| 1045909 | Other | MN | PREFERRED ONE |
| P0029032 | Other | MN | RAILROAD MEDICARE |
Other names 1
- Donna Marie Anderson
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48160 | MN | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1205883964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S # MS 21110Q",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CURVE CREST BLVD W",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550826040",
"telephone_number": "651-439-1234",
"fax_number": "651-275-3325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONING",
"first_name": "DONNA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-28",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MN",
"license": "48160",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "182112",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34805000",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "803882100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP57354",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1045909",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P0029032",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DONNA",
"last_name": "ANDERSON",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.