Anna Gabriela Konicek, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS9734 Issued in FL

Practice address

126 E Homestead Dr
Basalt, CO 81621-5033

Phone

(970) 989-9597

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Onna Gabriela Konicek Professional name

Medicare fee-for-service enrollment

Enrolled in TN, CA, LA, NM, FL5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 5

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• App of Tennessee Ed, PLLC

  • Emergency Medicine Physician
  • Maryville, TN
  • NPI 1003230236
  Medicare reassignment NPD
• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• Las Cruces HB Medical Services LLC

  • Emergency Medicine Physician
  • Las Cruces, NM
  • NPI 1598446171
  Medicare reassignment NPD
• Nes Western Group, a Professional Corporation

  • Emergency Medicine Physician
  • Porterville, CA
  • NPI 1487125019
  Medicare reassignment NPD
• Santa Rosa HB Medical Services LLC

  • Emergency Medicine Physician
  • Milton, FL
  • NPI 1982384988
  Medicare reassignment NPD
• Sound Physicians Emergency Medicine of Louisiana Inc

  • Emergency Medicine Physician
  • Lake Charles, LA
  • NPI 1396253407
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095

  Family Medicine

  NPD
• Nes Western Group, a Professional Corporation

  • Emergency Medicine Physician
  • Hayward, CA
  • NPI 1588249569
  NPD
• Aspen Valley Hospital District

  • Clinic/Center
  • Snowmass Village, CO
  • NPI 1710942495
  NPD (past)
• Cobblestone Emergency Physicians

  • Emergency Medicine Physician
  • St Augustine, FL
  • NPI 1134264641
  NPD (past)
• Louisiana Em-1 Medical Services, PC

  • Nurse Practitioner
  • Shreveport, LA
  • NPI 1265688667
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1710034236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11084",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816129659",
            "telephone_number": "970-989-9597",
            "fax_number": "844-350-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E HOMESTEAD DR",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816215033",
            "telephone_number": "970-989-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONICEK",
        "first_name": "ANNA",
        "middle_name": "GABRIELA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "DO2023-1082",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "20A13552",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "234719",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE MEDICAL LICENSE",
            "identifier": "45287",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "OS9734",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ONNA",
            "last_name": "KONICEK",
            "middle_name": "GABRIELA",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ian Kander, LPC
• Alice A Kaniff, DDS, PC
• Mowita Kensinger, PA-C
• Matthew Kobe King, LMFT
• Natasha Mozelle Knight, MD
• Glenn E Kotz, MD
• Lu Krueger-Andersen, LPC
• Timothy Richard Kruse, M.D.
• KW Therapy, LLC
• Lankering Chiropractic Clinic, Inc

• Family Medicine Physician in Basalt, CO
• Providers in Basalt, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.