Jeffery Phillip Konwinski, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1086 Issued in OH

Practice address

1217 Grandview Ave
Columbus, OH 43212-3455

Phone

(614) 670-5614

Fax

(614) 670-5614

NPI assigned

Oct 4, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1558871566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 VIRGINIA AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123040",
            "telephone_number": "614-670-5614",
            "fax_number": "614-670-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 GRANDVIEW AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123455",
            "telephone_number": "614-670-5614",
            "fax_number": "614-670-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONWINSKI",
        "first_name": "JEFFERY",
        "middle_name": "PHILLIP",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "1086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boakai Konneh
• Melissa Catherine Konopka, PA-C
• Annie Konrad, DO
• Kylee Konst
• Ondine Ngwashi Ngossa Konteh, FNP-BC
• Angel D Koogler, LSW
• Sally Koomson, STNA CERTIFIED
• Dani Kalin Koon, L.P.N.
• Rachel Leigh Hook Koon, MSW, LSW
• Shylynne Marie Koon

• Sports Physician Chiropractor in Columbus, OH
• Providers in Columbus, OH by specialty
• Sports Physician Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.