KAREN C PENROSE


Address: 900 Mohawk St Ste E, Savannah, GA 31419-1768
Phone: 9129250067

KAREN C PENROSE (NPI# 1003907478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003907478
Entity Type Individual
Full Name KAREN C PENROSE
Credential NP
Practice Address 900 Mohawk St Ste E
Savannah
GA 31419-1768
Practice Telephone 9129250067
Practice Fax Number 9129270267
Mailing Telephone 9129250067
Mailing Fax Number 9129270267
Enumeration Date 2006-09-28
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 207ND0900X Dermatology
Specialization: Dermatopathology
RN101568 GA Allopathic & Osteopathic Physicians
X 207NP0225X Dermatology
Specialization: Pediatric Dermatology
RN101568 GA Allopathic & Osteopathic Physicians
X 207NS0135X Dermatology
Specialization: Procedural Dermatology
RN101568 GA Allopathic & Osteopathic Physicians
X 363LF0000X Nurse Practitioner
Specialization: Family
RN101568 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA AMERIGROUP NUMBER 10053251 01
GA WELLCARE NUMBER 341107 01
GA WELLCARE NUMBER 3311616 01

Office Location

Street Address 900 MOHAWK ST STE E
City SAVANNAH
State GA
Zip Code 31419-1768

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710966866 John M Searles Jr. Surgery 900 Mohawk St Ste E, Savannah, GA 31419 2006-01-16
1376651026 Christopher J Anderson Dermatology 900 Mohawk St Ste E, Savannah, GA 31419-1768 2006-08-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255932653 Loving Hands Adult Care Home Health Aide 101 St. Goerge Blvd, 6t, Savannah, GA 31419 2020-11-03
1285241265 Jennifer Ann Hales Surgery 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 2020-09-24
1699318139 Jessica Kaitlyn Matthewson Nurse Practitioner 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 2019-10-28
1679133219 Rebecca Denise Brown-tuyishimire Counselor Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 2019-06-17
1356900856 Julio Roberto Castellanos Jr. Behavior Technician 785 King George Blvd Ste 103, Savannah, GA 31419 2019-06-07
1669941761 Paul-david Arthur Cooper Peer Specialist 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 2018-11-19
1326538521 Jay Carter Jr. Social Worker 1170 Shawnee St., Savannah, GA 31419 2018-05-14
1245771070 Emily Robertson Nurse Practitioner 11133 Abercorm Street, Suite 10, Savannah, GA 31419 2017-03-13
1760833750 Cady-jo Steidle Behavioral Analyst 143 Sugar Mill Cir, Savannah, GA 31419 2016-06-30
1265881189 Mallory Williams Physician Assistant 11909 D. Mcauley Drive, Savannah, GA 31419 2016-06-10
Find all providers in zip 31419

Taxonomy Information

Taxonomy Code 207ND0900X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Dermatopathology

Taxonomy Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285613307 Robert W Wetherington Dermatology 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 2006-01-17
1467431940 Narayan S Naik Dermatology 1200 Lake Hearn Dr Ne, Suite300, Atlanta, GA 30319-1415 2006-01-12
1518967918 Marian C. Finan Dermatology 1200 Lake Hearn Drive, Suite 300, Atlanta, GA 30319 2005-07-28
1396243630 Bakotic Pathology Associates, LLC Dermatology 6240 Shiloh Rd, Alpharetta, GA 30005-8347 2018-01-31
1366862203 Parisa Mansoori Dermatology 1901 Phoenix Blvd Ste 210, Atlanta, GA 30349 2014-04-18
1841632783 Dermpath and Derm Consultants Dermatology 1428 Scott Blvd, Decatur, GA 30030-1424 2013-07-19
1689019184 Abha Soni Dermatology 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 2013-05-09
1053565580 Johns Creek Dermatology and Family Medicine, P.C. Dermatology 6300 Hospital Pkwy, Ste 100, Johns Creek, GA 30097 2008-11-11
1679751978 Zlatan Oruc Dermatology 1777 Montreal Cir, Tucker, GA 30084-6802 2008-02-08
1780803098 Jill Buckthal-mccuin Dermatology 1000 Cowles Clinc Way, Aspen Cottages, Greensboro, GA 30642-5285 2007-04-25
Find all providers with the same taxonomy

Competitor

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City SAVANNAH
Zip Code 31419

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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