Jane O'Green Koenig, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G38095 Issued in CA

Practice address

77 Cadillac Dr
Suite# 130
Sacramento, CA 95825-5453

Phone

(916) 929-8564

Fax

(916) 929-4529

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1750305975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CADILLAC DR",
            "address_2": "SUITE# 130",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255453",
            "telephone_number": "916-929-8564",
            "fax_number": "916-929-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CADILLAC DR",
            "address_2": "SUITE# 130",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255453",
            "telephone_number": "916-929-8564",
            "fax_number": "916-929-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "JANE",
        "middle_name": "O'GREEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G38095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0015060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Louise Koehler, M.D.
• Laraine K Koen
• Ian Koenes
• Breanna Koenig
• Cindy M Koenig, AMFT
• Monica Jean Koenig, RN, PHN
• William H Koett Jr., DDS
• James William Koewler, MFT
• Ryan Koewler
• Alan Koff

• Specialist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.