Individual provider Active NPI

Jonathan Edward Knight, D.O.

  • Family Medicine Physician
  • Winona, MN
National Provider Identifier
1376596536
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51606 Issued in MN
Practice address
1122 W Highway 61
Winona, MN 55987-1957
Phone
(608) 782-7300
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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 02958 IA
Family Medicine Physician 207Q00000X 51606 MN Primary

Addresses

Primary practice location

1122 W Highway 61
Winona, MN 55987-1957

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Other practice location 1

207 Twiford St SW
Chatfield, MN 55923-1235
Phone (507) 867-4901

Other identifiers 1

IdentifierTypeStateIssuer
0125534MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090515000198 MN Practitioner - Family Practice 6507873247 Reassigns benefits to 2 organizations
I20200521000772 WI Practitioner - Family Practice 6507873247 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02958IAMDFamily Medicine Physician
51606MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Medical Center, Inc CurrentSince May 18, 2020 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince May 18, 2020 Accepting new patients
Gundersen Clinic LTD CurrentSince May 18, 2020 Accepting new patients
Gundersen Clinic LTD CurrentSince Jun 15, 2020 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince May 18, 2020 Accepting new patients
Gundersen Lutheran Medical Center, Inc. Family Medicine Past Accepting new patients

Locations

331 S 3rd St
La Crescent, MN 55947
Phone (507) 895-6610

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

123 5th Ave SE
Spring Grove, MN 55974
Phone (507) 498-3302

1122 W Highway 61
Winona, MN 55987
Phone (507) 615-0600

855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680

464 S Saint Joseph Ave
Arcadia, WI 54612
Phone (608) 323-3341

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

Interoperability endpoints

  • Direct secure messaging: jknight318328@direct.emplifyhealth.org

Organizations & group practices 6

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1376596536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 W HIGHWAY 61",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559871957",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 Twiford St SW",
            "address_purpose": "LOCATION",
            "city": "Chatfield",
            "state": "MN",
            "postal_code": "559231235",
            "country_code": "US",
            "telephone_number": "507-867-4901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "JONATHAN",
        "middle_name": "EDWARD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "02958",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "51606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125534",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

Verify at the official NPI Registry.