JEFFREY PENNY (NPI# 1124471545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124471545 |
| Entity Type | Individual |
| Full Name | JEFFREY PENNY |
| Practice Address |
8290 Old Troy Pike Ste 40a Huber Heights OH 45424 |
| Mailing Address |
3170 Kettering Blvd Bldg B3 Moraine OH 45439-1924 |
| Practice Telephone | 9372084100 |
| Practice Fax Number | 9372084107 |
| Mailing Telephone | 9379913186 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.020093 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2222 Philadelphia Dr, Dayton, OH 454061813 | 9377342612 | |
| 6700 Commerce Center Dr, Dayton, OH 454142672 | 9372086875 | 9372086878 |
| 1843 W Main St, Troy, OH 453732303 | 9372084120 | 9372084126 |
| 1130 S Main St, Englewood, OH 453222819 | 9372086879 | 9372086886 |
| 752 N Main St, Springboro, OH 450668944 | 9372086865 | 9372086868 |
| 8 Prestige Plaza Dr Ste 107, Miamisburg, OH 453427304 | 9372086871 | 9372086874 |
| Street Address |
8290 OLD TROY PIKE STE 40A |
| City | HUBER HEIGHTS |
| State | OH |
| Zip Code | 45424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265944219 | Jennifer Marie Shears | Nurse Practitioner | 8290 Old Troy Pike Ste 40a, Huber Heights, OH 45424 | 2017-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215402409 | Julie Ann Robinson | Case Manager/Care Coordinator | 7502 Mount Whitney, Huber Heights, OH 45424 | 2018-10-04 |
| 1275061103 | Thalia Duncan-alexander | Rehabilitation Counselor | 5414 Quisenberry Dr., Dayton, OH 45424 | 2017-05-23 |
| 1487181574 | Caitlyn Anne Frantz | Family Medicine | 6255 Chambersburg Rd Ste 2, Dayton, OH 45424 | 2017-05-19 |
| 1942736111 | Jessica Winkler | Registered Nurse | 1771 Old Palmer Road Nw, Washington Court House, OH 45424 | 2017-05-10 |
| 1679029417 | Heather Marlow | Pharmacy Technician | 5300 Executive Blvd, Huber Heights, OH 45424 | 2016-08-31 |
| 1619344330 | Tamika Nicole Wood | Home Health Aide | 5602 Troy Villa Blvd, Huber Heights, OH 45424 | 2015-08-28 |
| 1730505983 | Stephanie D. Bihn | Speech-Language Pathologist | 5954 Longford Road, Huber Heights, OH 45424 | 2014-03-12 |
| 1003248170 | Federated Medical Supplies, LLP | Durable Medical Equipment & Medical Supplies | 5053 Pepper Dr., Dayton, OH 45424 | 2013-07-31 |
| 1710200431 | William D Folk | Pharmacist | 5045 Heather Way, Dayton, OH 45424 | 2010-03-09 |
| 1083886998 | Matthew William Byers | Pediatrics | 8501 Old Troy Pike Ste 120, Huber Heights, OH 45424 | 2008-03-31 |
| Find all providers in zip 45424 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366066706 | Ashley E Thatcher | Nurse Practitioner | 8638 Old Troy Pike Ste 103, Huber Heights, OH 45424-1062 | 2020-06-02 |
| 1598222127 | Penny B Drazer | Nurse Practitioner | 8290 Old Troy Pike, Huber Heights, OH 45424-1056 | 2019-03-01 |
| 1790208577 | Jessica Sarah Kathryn Tipton | Nurse Practitioner | 8701 Old Troy Pike Ste 10, Huber Heights, OH 45424-1053 | 2017-07-24 |
| 1356342984 | Sandra L Smith | Nurse Practitioner | 4996 Brandt Pike, Huber Heights, OH 45424-6054 | 2005-08-04 |
| 1730663238 | Shannon Shea Stireman | Nurse Practitioner | 8638 Old Troy Pike, Huber Heights, OH 45424-1051 | 2018-09-20 |
| 1114407061 | Rian Kyles-stewart | Nurse Practitioner | 8701 Old Troy Pike Ste 20, Huber Heights, OH 45424-1073 | 2018-08-20 |
| 1356829170 | Seth Brinkman | Nurse Practitioner | 4996 Brandt Pike, Huber Heights, OH 45424-6054 | 2018-08-02 |
| 1588141808 | Elissa Marie Reed | Nurse Practitioner | 8701 Old Troy Pike Ste 20, Huber Heights, OH 45424-1073 | 2018-07-20 |
| 1134611684 | Eva Marie Linkenbach | Nurse Practitioner | 8701 Old Troy Pike, Huber Heights, OH 45424-1066 | 2018-05-31 |
| 1265944219 | Jennifer Marie Shears | Nurse Practitioner | 8290 Old Troy Pike Ste 40a, Huber Heights, OH 45424 | 2017-10-31 |
| Find all providers in HUBER HEIGHTS | ||||
| City | HUBER HEIGHTS |
| Zip Code | 45424 |
Please comment or provide details below to improve the information on JEFFREY PENNY.
| 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.