DR. JEFFREY ALAN PENMAN M.D. NPI 1518990910

NPI Information

NPI: 1518990910
Provider Name: DR. JEFFREY ALAN PENMAN, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3920 ST FRANCIS WAY
SUITE 100
LAFAYETTE, IN
ZIP 47905
Phone: (765) 428-5888
Get Directions

DR. Jeffrey Alan Penman, M.D. is an obstetrics gynecology in Lafayette, IN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Jeffrey Alan Penman, M.D. NPI is 1518990910. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3920 ST FRANCIS WAY
SUITE 100
LAFAYETTE, IN
ZIP 47905-917
Phone: (765) 428-5888
Fax: (765) 428-5896

The NPI 1518990910 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), Power Mobility Devices.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 2/17/2016.

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
1	207V00000X	Obstetrics & Gynecology		01036681A	INDIANA	Yes

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
1	D95372	MEDICARE UPIN	INDIANA
2	112660A	MEDICARE ID-TYPE UNSPECIFIED	INDIANA
3	10007090940	MEDICAID	INDIANA

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

NPI Synchronization or Removal

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