Active NPI
Joseph Michael Koenig, M.D.
- Medical Oncology Physician
- Akron, OH
National Provider Identifier
1972547438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 35053810
- Practice address
- 161 N Forge St
Ste. 198
Akron, OH 44304-1468 - Phone
- (330) 376-1043
- Fax
- (330) 376-9951
- NPI assigned
- Jun 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35053810 | OH | |
| Medical Oncology Physician | 207RX0202X | 35053810 | OH | Primary |
Addresses
Primary practice location
161 N Forge St
Ste. 198
Akron, OH 44304-1468
Mailing address
161 N Forge St
Ste. 198
Akron, OH 44304-1468
Phone (330) 376-1043
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0707604 | Other | OH | MEDICARE ID |
| 1046051 | Other | OH | UHC |
| 7927182 | Other | OH | AETNA |
| 000000134681 | Other | OH | ANTHEM |
| 830000059 | Other | OH | RAILROAD MEDICARE |
| 0869387 | Medicaid | OH | |
| 341587155C | Other | OH | ACHS |
| KO0707601 | Other | OH | MEDICARE ID |
| 0707603 | Other | OH | MEDICARE ID |
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 |
|---|---|---|---|
| 35053810 | OH | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1972547438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 N FORGE ST",
"address_2": "STE. 198",
"city": "AKRON",
"state": "OH",
"postal_code": "443041468",
"telephone_number": "330-376-1043",
"fax_number": "330-376-9951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 N FORGE ST",
"address_2": "STE. 198",
"city": "AKRON",
"state": "OH",
"postal_code": "443041468",
"telephone_number": "330-376-1043",
"fax_number": "330-376-9951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOENIG",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "35053810",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "OH",
"license": "35053810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "0707604",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "1046051",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7927182",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000134681",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "830000059",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0869387",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACHS",
"identifier": "341587155C",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "KO0707601",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "0707603",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.