Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael W Koenig, PA-C

Individual provider Physician Assistant · NPI 1457317422

Mr. Michael W Koenig, PA-C is a Physician Assistant in Bryan, Ohio. Qualified in 2003, 23 years ago. Practices with Midwest Community Health Associates, Inc, a 99-clinician group and accepts Medicare assignment. Licensed in North Carolina and Ohio.

Years since qualifying
23
Licensed in
NC, OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

442 W High St Ste 3
Bryan, OH 43506-1681
Phone: (419) 636-4517
Fax: (419) 636-6438
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.003014RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence 103933 (NC)

Record details

NPI number1457317422
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Midwest Community Health Associates, Inc. — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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