DR. CHARLES PENVOSE DPM NPI 1144853649

NPI Information

  • NPI: 1144853649
  • Provider Name: DR. CHARLES PENVOSE, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1920 TAMARACK RD
    NEWARK, OH
    ZIP 43055
  • Phone: (740) 344-8286

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NPI Details

DR. Charles Penvose, DPM is a foot and ankle surgery podiatrist in Newark, OH with 8 years of experience. DR. Charles Penvose, DPM NPI is 1144853649. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2018

The provider's business location address is:

1920 TAMARACK RD
NEWARK, OH
ZIP 43055-303
Phone: (740) 344-8286
Fax: (740) 522-0094

The NPI 1144853649 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of foot, 2 views (HCPCS:73620)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)

The enumeration date for this NPI number is 2/13/2020 and was last updated on 10/22/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryPOD001444GEORGIANo
2213ES0103XPodiatristFoot & Ankle Surgery36.003998OHIOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10444143MEDICAIDOHIO

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: 11/21/2025

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