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Michael R Koenig (MD)

Michael R Koenig (MD) is a health care provider specializes in Family Medicine. He is associated with medical group practice GARDEN VALLEY FAMILY MEDICINE PC and is affiliated with 4 hospitals as shown below.

profile-icon Basic Information

Practice Location 856 Banks Lowman Rd, Garden Valley, ID 83622-8102, US
Practice Location Phone208-462-3533
Practice Location Fax208-462-3736
GenderMale
Specialty InFamily Medicine
Medical SchoolUniversity Of Washington School Of Medicine
Graduation Year1999
NPI ?1851396386
PECOS ID6002832276
Enrollment IDI20051017000992
Entity TypeIndividual
Enumeration Date ? Jun 21, 2005
Last Update Date ? Apr 5, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Michael R Koenig

SpecialtySpecializationLicenseLicense State
Family Medicine M8699Idaho

Medicare-icon Medicare Participation of Michael R Koenig

Accepts Medicare Assignment
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Michael R Koenig

Medical Group PracticeGarden Valley Family Medicine Pc
Affiliation 1 St Luke's Regional Medical Center
Affiliation 2 St Alphonsus Regional Medical Center
Affiliation 3 Valor Health
Affiliation 4 Saint Alphonsus Medical Center - Nampa

legacy-id-icon Legacy Provider IDs of Michael R Koenig

Provider IdIssuer StateIssuer TypeIssuer
000010140515IdahoOtherBS
11061871IdahoMedicare Pin
11061873IdahoMedicare Pin
85795IdahoOtherBC
1106187IdahoMedicare Id-type Unspecified
806406200IdahoMedicaid
H59372IdahoMedicare Upin