Margaret Alma Konecky, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36.002039 Issued in OH

Practice address

29505 Detroit Rd
Westlake, OH 44145-1932

Phone

(440) 871-5181

NPI assigned

Jun 4, 2006

Last updated

Dec 3, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1578501003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 CEDARVIEW DR",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221220",
            "telephone_number": "216-691-1640",
            "fax_number": "216-691-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29505 DETROIT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451932",
            "telephone_number": "440-871-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONECKY",
        "first_name": "MARGARET",
        "middle_name": "ALMA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.002039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0478111",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "000000497422",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "000000497422",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Jean Kohls, LISW
• John A Kohut, DDS
• Koinonia Partners Unlimited, LLC (Chaucer Home)
• Kristin M Koliha, LISW
• Jason Jon Komitau, M.D.
• Reiley Konschak
• Robert M Konstan, M.D.
• David R Koris, D.P.M.
• Mary W Kortan, PA-C
• Katelyn Elizabeth Kosileski, DDS

• Podiatrist in Westlake, OH
• Providers in Westlake, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.