ANNA GABRIELA KONICEK (NPI# 1710034236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710034236 |
| Entity Type | Individual |
| Full Name | ANNA GABRIELA KONICEK |
| Other Name | ONNA GABRIELA KONICEK |
| Credential | D.O. |
| Practice Address |
151 Summit Dr Carbondale CO 81623-8747 |
| Mailing Address |
2019 S Peninsula Dr Daytona Beach FL 32118-5213 |
| Practice Telephone | 9703195486 |
| Mailing Telephone | 3862359056 |
| Mailing Fax Number | 8443506556 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2019-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS9734 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE NUMBER | OS9734 | 01 |
| FL | DEA NUMBER | BK9895244 | 01 |
| NY | STATE LICENSE NUMBER | 234719 | 01 |
| Street Address |
151 SUMMIT DR |
| City | CARBONDALE |
| State | CO |
| Zip Code | 81623-8747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818719 | Mike's Place LLC | Day Training, Developmentally Disabled Services | 325 Garfield Avenue, Carbondale, CO 81623 | 2020-10-14 |
| 1619447042 | Alexis Drane | Behavioral Analyst | 818 Industry Pl, Carbondale, CO 81623 | 2018-11-28 |
| 1003265166 | Communication Corner Speech Language Therapy LLC | Speech-Language Pathologist | 0402 Summit Drive, Carbondale, CO 81623 | 2016-06-09 |
| 1538531066 | Robert Pew | Counselor | 520 S 3rd St., Suite 12, Carbondale, CO 81623 | 2015-10-23 |
| 1326420068 | Hope Springs Counseling | Community/Behavioral Health | 1418 Country Road 107, Carbondale, CO 81623 | 2015-06-18 |
| 1932498425 | Kristen Elizabeth Maire | Social Worker | 0189 Jw Drive, Suite 5, Carbondale, CO 81623 | 2011-04-05 |
| 1518277169 | Sarah H Shook | Clinic/Center | 1378 West Main St, Carbondale, CO 81623 | 2010-10-18 |
| 1194909580 | Aspen Home Health Care Inc. | Case Management | 1158 Highway 133, Carbondale, CO 81623 | 2007-12-21 |
| 1679783211 | Julianne Stuart Guy | Midwife | 20 North 4th St, Carbondale, CO 81623 | 2007-05-23 |
| 1700972809 | Elizabeth Flood Spidell | Family Medicine | 1340 Hwy. 133, Carbondale, CO 81623 | 2006-10-05 |
| Find all providers in zip 81623 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502570 | Zubin Wala | Family Medicine | 300 W Oak St Ste 200, Carbondale, IL 62901-1400 | 2020-06-08 |
| 1023490950 | Kowsika Movva | Family Medicine | 207 W Jackson St Ste 102, Carbondale, IL 62901-1408 | 2015-06-27 |
| 1710392428 | Andrew John Hossler | Family Medicine | 207 W Jackson St Ste 101, Carbondale, IL 62901-1408 | 2014-06-23 |
| 1487833091 | Sarah Hasek, Md, LLC | Family Medicine | 207 W Jackson St Ste 202, Carbondale, IL 62901-1408 | 2007-10-31 |
| 1770635062 | Deedra Gail Mclain | Family Medicine | 300 W Oak St, Carbondale, IL 62901-1400 | 2007-01-17 |
| 1295801835 | Kimball John Spence | Family Medicine | 1340 Hwy 133, Carbondale, CO 81623-1933 | 2006-11-27 |
| 1659447290 | Gary D Knaus | Family Medicine | 1340 Highway 133, Carbondale, CO 81623-1933 | 2006-11-27 |
| 1366526600 | Paul A Bennett | Family Medicine | 374 E. Grand Ave, Carbondale, IL 62901 | 2006-10-24 |
| 1285723635 | Roger D Jones | Family Medicine | 207 W Jackson Ste 102, Carbondale, IL 62901 | 2006-10-12 |
| 1700972809 | Elizabeth Flood Spidell | Family Medicine | 1340 Hwy. 133, Carbondale, CO 81623 | 2006-10-05 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 81623 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.