Albert Samuel Koenig, III, PA
Family Medicine in Fort Smith, AR. Organization (NPI-2).
Details
- NPI
- 1992848162
- Entity type
- Organization (NPI-2)
- Legal business name
- Albert Samuel Koenig, III, PA
- Organization subpart
- Yes
- Enumeration date
- Feb 15, 2007
- Last updated
- Jun 19, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | C4336 | AR | Yes |
| 207ZP0105X | Pathology, Clinical Pathology/Laboratory Medicine | C4336 | AR | |
| 207ZP0101X | Pathology, Anatomic Pathology | C4336 | AR |
Other names
- Family Medical Care (Doing Business As)
Practice location
2420 Rogers AveFort Smith, AR 72901-4164
Phone 479-782-4000 · Fax 479-782-0265
Mailing address
2420 Rogers AveFort Smith, AR 72901-4164
Phone 479-782-4000 · Fax 479-782-0265
Authorized official
Albert Samuel Koenig
Corporation President
4797824000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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