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DR. DEBRA PENNINGTON MD NPI 1891799417


NPI Information

NPI: 1891799417
Provider Name: DR. DEBRA PENNINGTON, MD
Classification: Radiology - 2085P0229X
Entity Type: Individual

Specialization: Pediatric Radiology

Address:
12554 RIATA VISTA CIR
AUSTIN, TX
ZIP 78727
Phone: (512) 795-5100
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DR. Debra Pennington, MD is a pediatric radiology radiology in Austin, TX. The provider is a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. DR. Debra Pennington, MD NPI is 1891799417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12554 RIATA VISTA CIR
AUSTIN, TX
ZIP 78727-431
Phone: (512) 795-5100
Fax: (512) 795-5122

The enumeration date for this NPI number is 6/10/2005 and was last updated on 1/13/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085P0229XRadiologyPediatric RadiologyK8416TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1300127115OTHERRRMCARE2
2105706904OTHERTEXASCSHCN2
3300108480OTHERRRMCARE
488201NMEDICARE PINTEXAS
588191NMEDICARE PINTEXAS
6F06833MEDICARE UPIN
7105706901MEDICAIDTEXAS
8105706902MEDICAIDTEXAS
9105706903OTHERTEXASCSHCN1

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.