| Gavin Koenig, | |
|
13657 W Mcdowell Rd Ste 220, Goodyear, AZ 85395-2603 | |
| (623) 848-5609 | |
| Not Available |
| Full Name | Gavin Koenig |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 13657 W Mcdowell Rd Ste 220, Goodyear, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235711086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD61519536 (Washington) | Primary |
| Entity Name | Northwest Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892 |
| Entity Name | Sound Physicians Emergency Medicine Of Washington Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629532064 PECOS PAC ID: 7315279007 Enrollment ID: O20191030000855 |
| Mailing Address | Practice Location Address |
|---|---|
| Gavin Koenig, 13657 W Mcdowell Rd Ste 220, Goodyear, AZ 85395-2603 Ph: (623) 848-5609 | Gavin Koenig, 13657 W Mcdowell Rd Ste 220, Goodyear, AZ 85395-2603 Ph: (623) 848-5609 |
Brendan Davis, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 | |
Frederick T Warner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 | |
Dr. George Shepard Iii, MD MBA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85338 Phone: 623-882-1500 | |
Dr. Timothy Owen Pfeiffer, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85338 Phone: 623-882-1500 | |
Brian Casillas, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13657 W Mcdowell Rd Ste 220, Goodyear, AZ 85395 Phone: 623-882-1500 | |
Mr. David R Murray, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85338 Phone: 623-882-1500 |