David Chester Koronkiewicz, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

02001411A Issued in IN

Practice address

1824 Dorchester CT
Goshen, IN 46526-6476

Phone

(574) 534-2548

Fax

(574) 534-3622

NPI assigned

Jun 1, 2006

Sex

Male

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: david.koronkiewicz@goshenhealthdirect.com

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1821035353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 DORCHESTER CT",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266476",
            "telephone_number": "574-534-2548",
            "fax_number": "574-534-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 DORCHESTER CT",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266476",
            "telephone_number": "574-534-2548",
            "fax_number": "574-534-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORONKIEWICZ",
        "first_name": "DAVID",
        "middle_name": "CHESTER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "02001411A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100114330A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.koronkiewiczdo.p1@direct.goshenphysicians.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1824 Dorchester Ct",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465266476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.koronkiewicz@goshenhealthdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1824 Dorchester Ct",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465266476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sara Ruth Klassen
• Ashley Kleiman, MSW
• Rachel Marie Knafel, NP
• Charlene Koenig, MA
• Nicole Nichelle Koenigshof, MSPT
• Sarah T. Krabill, M.D.
• Stacy Krahn, CPNP
• Nicholas Kramer, M.D.
• Sherri A Kramp, R.D.
• Gretchen Krause, MDIV, MSW, LSW

• Orthopaedic Surgery Physician in Goshen, IN
• Providers in Goshen, IN by specialty
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.