Active NPI
Martin A Koehn, M.D.
- Family Medicine Physician
- Hot Springs, AR
National Provider Identifier
1548249196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R-2086
- Practice address
- 130 Medical Park PL
Hot Springs, AR 71901-8051 - Phone
- (501) 321-9292
- Fax
- (501) 623-5541
- NPI assigned
- Jan 12, 2006
- Last updated
- Apr 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R-2086 | AR | Primary |
Addresses
Primary practice location
130 Medical Park PL
Hot Springs, AR 71901-8051
Mailing address
130 Medical Park PL
Hot Springs, AR 71901-8051
Phone (501) 321-9292
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52969 | Other | AR | BCBS |
| P02916 | Other | AR | NOVASYS |
| 4559256 | Other | AR | AETNA |
| 208067 | Other | AR | HEALTHLINK |
| 0120032 | Other | AR | UNITED HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-2086 | AR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1548249196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 MEDICAL PARK PL",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719018051",
"telephone_number": "501-321-9292",
"fax_number": "501-623-5541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MEDICAL PARK PL",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719018051",
"telephone_number": "501-321-9292",
"fax_number": "501-623-5541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEHN",
"first_name": "MARTIN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "R-2086",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52969",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVASYS",
"identifier": "P02916",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4559256",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "208067",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0120032",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.