Gary D Koenig (NPI# 1861485724, PAC ID# 9335169887) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1861485724 |
| PAC ID by PECOS | 9335169887 |
| Professional Enrollment ID | I20090803000025 |
| Full Name | Gary D Koenig |
| Organization Legal Name | AMERICAN MULTISPECIALTY GROUP INC |
| Address |
100 Village Square Shop Ctr Hazelwood MO 63042-1820 |
| Phone Number | 3143554010 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1658365572 |
| Number of Group Practice Members | 148 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260104 | SSM DEPAUL HEALTH CENTER |
| 260091 | SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 100 Village Square Shop Ctr, Hazelwood, MO 63042-1820 | 3143554010 | AMERICAN MULTISPECIALTY GROUP INC |
| Organization Legal Name | AMERICAN MULTISPECIALTY GROUP INC |
| Physicians | 152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Rice Fick | Internal Medicine | American Multispecialty Group Inc | 1551 Wall St, Suite 400, Saint Charles, MO 63303-3541 |
| Rachel A Sappington | Nurse Practitioner | American Multispecialty Group Inc | 4800 Mexico Rd, Suite 102, Saint Peters, MO 63376-1666 |
| Danielle J Moore | Nurse Practitioner | American Multispecialty Group Inc | 3409 Union Blvd, Saint Louis, MO 63115-1127 |
| John T English | Internal Medicine | American Multispecialty Group Inc | 4 Park Pl, Swansea, IL 62226-2965 |
| Erin E Sandoz | Registered Dietitian Or Nutrition Professional | American Multispecialty Group Inc | 637 Dunn Rd, Hazelwood, MO 63042-1759 |
| Gaylin R Manion | Nurse Practitioner | American Multispecialty Group Inc | 1167 Fortune Blvd, Shiloh, IL 62269-7377 |
| Alisia M Schmidt | Physician Assistant | American Multispecialty Group Inc | 2900 W Frank Scott Pkwy, Suite 914, Belleville, IL 62223-5000 |
| Julie A Rubin | Nurse Practitioner | American Multispecialty Group Inc | 1031 Bellevue Ave, Saint Louis, MO 63117-1857 |
| Craig S Holzem | Family Medicine | American Multispecialty Group Inc | 1721 Heritage Hills Dr, Washington, MO 63090-4621 |
| Radha V Patnana | Family Medicine | American Multispecialty Group Inc | 7419 Watson Rd, Saint Louis, MO 63119-4415 |
| Street Address |
100 VILLAGE SQUARE SHOP CTR |
| City | HAZELWOOD |
| State | MO |
| Zip | 63042-1820 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eldad S Bialecki | Gastroenterology | American Multispecialty Group Inc | 100 Village Square Shop Ctr, Hazelwood, MO 63042-1820 |
| Jennifer M Phillips | Nurse Practitioner | American Multispecialty Group Inc | 100 Village Square Shop Ctr, Hazelwood, MO 63042-1820 |
| Meng Zhao | Internal Medicine | American Multispecialty Group Inc | 100 Village Square Shop Ctr, Hazelwood, MO 63042-1820 |
| Tomma Chevon Stowers | Nurse Practitioner | American Multispecialty Group Inc | 100 Village Square Shop Ctr, Hazelwood, MO 63042-1820 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clyde E Foland Ii | Chiropractic | 6110 Howdershell Rd, Hazelwood, MO 63042-1170 | |
| Alana M Arms | Clinical Social Worker | 737 Dunn Rd, Hazelwood, MO 63042-1740 | |
| Rose Bernardez | Clinical Social Worker | 737 Dunn Rd, Hazelwood, MO 63042-1740 | |
| Fern Y Ferguson Bush | Clinical Social Worker | 737 Dunn Rd, Hazelwood, MO 63042-1740 | |
| Seth N Barbanell | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 755 Dunn Rd, Suite 160, Hazelwood, MO 63042-1751 |
| Anthony T Sonn | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 755 Dunn Rd, Suite 160, Hazelwood, MO 63042-1751 |
| Robert H Neumayr | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 755 Dunn Rd, Suite 160, Hazelwood, MO 63042-1751 |
| John Nash | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 755 Dunn Rd, Suite 160, Hazelwood, MO 63042-1751 |
| Sara Marie Koenig | Nurse Practitioner | Mercy Clinic East Communities | 755 Dunn Rd, Suite 130, Hazelwood, MO 63042-1751 |
| Mark W Vogel | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 755 Dunn Rd, Suite 160, Hazelwood, MO 63042-1751 |
| Find all physicians in zip 63042 | |||
| City | HAZELWOOD |
| Zip Code | 63042 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | HAZELWOOD + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Gary D Koenig.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.