Individual provider Active NPI

Charlotte Hershberger Koenig, MD

  • Family Medicine Physician
  • Williamsburg, IA
National Provider Identifier
1841262979
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27499 Issued in IA
Practice address
819 S Highland St
Williamsburg, IA 52361-9333
Phone
(319) 668-2722
Fax
(319) 668-2625
NPI assigned
Feb 2, 2006
Last updated
Feb 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27499 IA Primary

Addresses

Primary practice location

819 S Highland St
Williamsburg, IA 52361-9333

Mailing address

PO Box 2027
Iowa City, IA 52244-2027
Phone (319) 339-3541

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

LicenseStateTypeSpecialty
27499IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Partners of the Quad Cities, P.C. Family Medicine Current Accepting new patients
Family Care Partners of the Quad Cities, P.C. Family Medicine Current Accepting new patients

Locations

3740 Utica Ridge Rd
Ste B
Bettendorf, IA 52722
Phone (563) 344-7400

4101 John Deere Rd
Moline, IL 61265
Phone (309) 757-1905

555 Valley View Dr
Moline, IL 61265
Phone (309) 764-9675

602 35th Ave
Moline, IL 61265
Phone (309) 797-4688

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1841262979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2027",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522442027",
            "telephone_number": "319-339-3541",
            "fax_number": "319-358-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 S HIGHLAND ST",
            "city": "WILLIAMSBURG",
            "state": "IA",
            "postal_code": "523619333",
            "telephone_number": "319-668-2722",
            "fax_number": "319-668-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "CHARLOTTE",
        "middle_name": "HERSHBERGER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "27499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.