Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386681880 Individual Practitioner Male Practitioner

Dr. Gary Elliot Penner , MD

Emergency Medicine • Longview, WA

Professional Overview & Biography Verified Profile Summary

Dr. Gary Penner, MD is a registered healthcare professional specializing in Emergency Medicine in Longview, WA. Practice services are available at 1615 DELAWARE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1615 Delaware St

Longview, WA 986322310

Telephone 3604142000
Associated Practice Facility / Clinic
🏢 Peacehealth Facility NPI 1073510277

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.4 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
16 Specialists

Practicing in Longview, WA (1495 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License WA MD00016397

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8301905 (WA)
Medicaid State Provider ID
9626045 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Peter Leyzac , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033451968

Certified Registered Nurse Anesthetist

NPI 1033468376

Doctor of Pharmacy (Pharm.D.)

Donna Lynds , ARNP-C

Nurse Practitioner - Family

NPI 1043549488

ARNPC

NPI 1043567969
Sarah Wilber , PA-C

Physician Assistant

NPI 1053133199

Physician Assistant (Certified)

Dr. Ryan Strilaeff , MD

Radiology - Vascular & Interventional Radiology

NPI 1093193492

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 16, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location December 16, 2009

Registered at 1615 DELAWARE ST, LONGVIEW, WA 986322310 (Tel: 3604142000)

📍
Updated Business Mailing Address December 16, 2009

Registered at PO BOX 11510, WESTMINSTER, CA 926851510

👤
Provider Name / Credentials Updated December 16, 2009

Recorded as GARY PENNER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2009

Emergency Medicine (License #MD00016397 in WA)

🟢
Initial NPI Registration & Enumeration June 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386681880
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2006
Last Update: December 16, 2009
Sole Proprietor: No

Mailing Address

Po Box 11510

Westminster, CA 926851510

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.