Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Cory Koenig, DO

Individual provider Anesthesiology Physician · NPI 1831465657

Dr. Cory Koenig, DO is an Anesthesiology in Charlotte, North Carolina. Qualified in 2012, 14 years ago. Practices with Providence Anesthesiology Associates PA, a 220-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

131 Providence Rd Ste 200
Charlotte, NC 28207-1235
Phone: (704) 749-5800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 5101019912 (MI)

Record details

NPI number1831465657
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 26, 2012
Last updated in NPPESMay 27, 2020
Certification dateMay 27, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Providence Anesthesiology Associates Pa — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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