Christopher Douglas Koehn, MD | |
2115 S Fremont Ave Ste 3300, Springfield, MO 65804-2246 | |
(417) 820-5200 | |
(417) 820-5220 |
Full Name | Christopher Douglas Koehn |
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Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 2115 S Fremont Ave Ste 3300, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144677618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | R-10489 (Iowa) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 2022031379 (Missouri) | Primary |
Entity Name | Mercy Clinic Springfield Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
Entity Name | Mercy Clinic Springfield Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
Mailing Address | Practice Location Address |
---|---|
Christopher Douglas Koehn, MD 2115 S Fremont Ave Ste 3300, Springfield, MO 65804-2246 Ph: (417) 820-5200 | Christopher Douglas Koehn, MD 2115 S Fremont Ave Ste 3300, Springfield, MO 65804-2246 Ph: (417) 820-5200 |
Dr. Mark H. Grimm, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-888-5696 Fax: 417-888-6711 | |
Dr. Sridevi Durga, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Suite 400, Springfield, MO 65807 Phone: 417-875-2633 Fax: 417-875-3295 | |
Bradley D Wiley, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3051 | |
Walter S. Trombold, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6044 S Overlook Trl, Springfield, MO 65810 Phone: 417-771-5778 | |
Ghulam Jeelani Siddiqui, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804 Phone: 417-820-5200 Fax: 417-820-5220 | |
Danny R Penick, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-0000 | |
Dr. Anne Marsh Egbert, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 4630 W Farm Road 82, Springfield, MO 65803 Phone: 417-522-5551 Fax: 417-722-0001 |