DR. JEFFREY STUART PENNER M.D. NPI 1790883601

NPI Information

  • NPI: 1790883601
  • Provider Name: DR. JEFFREY STUART PENNER, M.D.
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 130 JOHN F KENNEDY DR STE 201
    ATLANTIS, FL
    ZIP 33462
  • Phone: (561) 967-4400

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NPI Details

DR. Jeffrey Stuart Penner, M.D. is an orthopaedic surgery in Atlantis, FL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. Jeffrey Stuart Penner, M.D. NPI is 1790883601. 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:

130 JOHN F KENNEDY DR STE 201
ATLANTIS, FL
ZIP 33462-142
Phone: (561) 967-4400
Fax: (561) 967-5277

The NPI 1790883601 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 1/27/2022.

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
1174400000XSpecialistME0030380FLORIDANo
2207X00000XOrthopaedic SurgeryME30380FLORIDAYes

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
1206593OTHERFLORIDAAVMED
2037798800MEDICAIDFLORIDA
350805OTHERFLORIDABCBS

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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