GARY ELLIOT PENNER MD
NPI 1386681880
Emergency Medicine in Longview, WA

Active since June 01, 2006
1615 DELAWARE ST, LONGVIEW, WA 98632(360) 414-2000 Get Directions Write a Review

NPPES record last updated: December 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gary Elliot Penner Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY ELLIOT PENNER MD (NPI 1386681880) is an individual emergency medicine provider in Longview, Washington, licensed in Washington (MD00016397) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1386681880
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameGARY ELLIOT PENNERCredential: MD
Location Address1615 DELAWARE STLongview, WA 98632-2310
Mailing AddressPo Box 11510Westminster, CA 92685-1510
Sole ProprietorNo
Enumeration DateJune 1, 2006
Last NPPES UpdateDecember 16, 2009
NPI 1386681880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in WA · MD00016397
Definition
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.
1615 DELAWARE ST, Longview, WA 98632

Other Identifiers 4

Medicare UPINE72488
Medicaid8301905WA
Medicaid9626045WA
Medicare PINAB35440WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Radiation Oncology)
1615 DELAWARE ST
LONGVIEW, WA 98632
Nurse Practitioner (Family)
1615 DELAWARE ST
LONGVIEW, WA 98632
Internal Medicine (Hematology)
1615 DELAWARE ST
LONGVIEW, WA 98632
Nurse Anesthetist, Certified Registered
1615 DELAWARE ST
LONGVIEW, WA 98632
Pharmacist
1615 DELAWARE ST
LONGVIEW, WA 98632
Nurse Practitioner (Family)
1615 DELAWARE ST
LONGVIEW, WA 98632
Pharmacist
1615 DELAWARE ST
LONGVIEW, WA 98632
Nurse Practitioner (Family)
1615 DELAWARE ST
LONGVIEW, WA 98632

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Penner's NPI number?

The NPI number for Gary Penner is 1386681880. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Gary Penner located?

Gary Penner practices at 1615 Delaware St, Longview, WA 98632. The listed phone number is (360) 414-2000.

What is Gary Penner's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Gary Penner was last updated on December 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.