Lawrence James Koep, M.D.

Primary specialty

Transplant Surgery PhysicianTaxonomy code 204F00000X

License

12409 Issued in AZ

Practice address

2218 N 3Rd St
Phoenix, AZ 85004-1401

Phone

(602) 252-2543

Fax

(602) 252-3861

NPI assigned

Jun 15, 2005

Last updated

Sep 23, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona Transplant Associates, PC

  • Transplant Surgery Physician
  • Phoenix, AZ
  • NPI 1447344908
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1215932322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041401",
            "telephone_number": "602-252-2543",
            "fax_number": "602-252-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041401",
            "telephone_number": "602-252-2543",
            "fax_number": "602-252-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEP",
        "first_name": "LAWRENCE",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "AZ",
            "license": "12409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230483",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genna Nicole Koehn, DO
• Matthew Koelling, DC
• Madeline Koelzer
• Jaime Koenig
• Karen Koenig
• Koepke Clinic for Chiropractic PC
• Becky Lee Koepke, D.C.
• Rebecca Koepke
• Stefan Wolfgang Koester
• Charlotte Miriam Koestner, LCSW

• Transplant Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Transplant Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.