Active NPI
Eric Koenig, M.A., CCC-A
- Audiologist
- Texarkana, AR
National Provider Identifier
1609294685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A-01306
- Practice address
- 910 Realtor Ave
Texarkana, AR 71854-1020 - Phone
- (800) 863-7441
- NPI assigned
- Apr 7, 2014
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | A-01306 | OH | Primary |
Addresses
Primary practice location
910 Realtor Ave
Texarkana, AR 71854-1020
Mailing address
910 Realtor Ave
Texarkana, AR 71854-1020
Phone (800) 863-7441
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-01306 | OH | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396828800000",
"number": "1609294685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 REALTOR AVE",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718541020",
"telephone_number": "800-863-7441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 REALTOR AVE",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718541020",
"telephone_number": "800-863-7441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOENIG",
"first_name": "ERIC",
"credential": "M.A., CCC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-07",
"last_updated": "2014-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A-01306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Texarkana, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.