Thomas Charles Koehnen, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

25673 Issued in MN

Practice address

38818 730TH Ave
Saint James, MN 56081-4482

Phone

(507) 375-7321

NPI assigned

Nov 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Primary Specialists

  dba Center for Primary Care

  • Family Medicine Physician
  • Fairmont, MN
  • NPI 1588900864
  NPD (past)
• Sanford Health Network

  dba Sanford Clinic Walnut Grove

  • Family Medicine Physician
  • Walnut Grove, MN
  • NPI 1033306931
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669544623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38818 730TH AVE",
            "city": "SAINT JAMES",
            "state": "MN",
            "postal_code": "560814482",
            "telephone_number": "507-375-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38818 730TH AVE",
            "city": "SAINT JAMES",
            "state": "MN",
            "postal_code": "560814482",
            "telephone_number": "507-375-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHNEN",
        "first_name": "THOMAS",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MN",
            "license": "25673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey Johnson
• Jada Jokumsen Steinle, M.A., CCC-SLP
• Daniel Kern, DPT
• Laura Kay Kern, OTR
• Megan Elizabeth Simmons Kiefer, M.D.
• Laura Grace Kostos, PA-C
• Maria Suzanne Krusemark
• Jennifer M Langbehn, DO
• Curtis Leon Leimer, D.C.
• Madelia Health (Madelia Health - St. James)

• Emergency Medical Services (Emergency Medicine) Physician in Saint James, MN
• Providers in Saint James, MN by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.