Albert Samuel Koenig III, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C4336 Issued in AR

Practice address

2420 Rogers Ave
Fort Smith, AR 72901-4164

Phone

(479) 782-4000

Fax

(479) 782-0267

NPI assigned

Jul 13, 2005

Last updated

Jul 18, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Albert Samuel Koenig, III, PA

  dba Family Medical Care

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1992848162
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1801894738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014164",
            "telephone_number": "479-782-4000",
            "fax_number": "479-782-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014164",
            "telephone_number": "479-782-4000",
            "fax_number": "479-782-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "ALBERT",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C4336",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AR",
            "license": "C4336",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "AR",
            "license": "C4336",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "52965",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Nichole Knox
• Robert B Knox, M.D.
• William A Knubley, MD
• Justin Knuckles, QBHP
• Debbie Koch, APN
• Leslie Kohler, M.ED., CCC-SLP
• Venkata Lakshmi Phani Kompella, MD
• Lipu Kong, MD
• Summer Koons
• Jessica Marie Kopacz

• Family Medicine Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.