P JOHN KONICKI DO
NPI 1336152891
Emergency Medicine in Bloomington, IN

Active since August 15, 2006
601 W 2ND ST, BLOOMINGTON, IN 47403(812) 353-5252 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About P John Konicki Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

P JOHN KONICKI DO (NPI 1336152891) is an individual emergency medicine provider in Bloomington, Indiana, licensed in Indiana (02005798A) and active in the NPI registry since August 2006. He maintains a secondary practice location in Oak Lawn.

NPPES Registry Identity

NPI1336152891
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameP JOHN KONICKICredential: DO
Location Address601 W 2ND STBloomington, IN 47403-2317
Mailing Address4440 W 95th St, Department Of Emergency MedicineOak Lawn, IL 60453-2600 · (708) 684-5354 · Fax (708) 684-1028
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateOctober 23, 2020
NPPES CertifiedOctober 23, 2020
NPI 1336152891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IN · 02005798A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 036091309 (IL)
601 W 2ND ST, Bloomington, IN 47403

Secondary Practice Location 1

Location 14440 W 95th St, Department of Emergency MedicineOak Lawn, IL 60453-2600 · Phone (708) 684-5354 · Fax (708) 684-1028

Other Identifiers 1

Medicaid36091309IL

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
601 W 2ND ST
BLOOMINGTON, IN 47403
Dietitian, Registered
601 W 2ND ST
BLOOMINGTON, IN 47403
Nurse Practitioner (Family)
601 W 2ND ST
BLOOMINGTON, IN 47403
Anesthesiology
601 W 2ND ST, DEPARTMENT OF ANESTHESIOLOGY
BLOOMINGTON, IN 47403
Hospitalist
601 W 2ND ST
BLOOMINGTON, IN 47403
Dietitian, Registered
601 W 2ND ST
BLOOMINGTON, IN 47403
Psychiatry & Neurology (Psychiatry)
601 W 2ND ST
BLOOMINGTON, IN 47403
Rehabilitation Unit
601 W 2ND ST
BLOOMINGTON, IN 47403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is P Konicki's NPI number?

The NPI number for P Konicki is 1336152891. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is P Konicki located?

P Konicki practices at 601 W 2nd St, Bloomington, IN 47403. The listed phone number is (812) 353-5252.

What is P Konicki's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

What insurance does P Konicki accept?

Health plans from CareSource list P Konicki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for P Konicki was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.