DR. ROBERT B PENNE (NPI# 1215936380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215936380 |
| Entity Type | Individual |
| Full Name | DR. ROBERT B PENNE |
| Credential | MD |
| Practice Address |
100 E Lancaster Ave Suite 256 Med Bldg East Wynnewood PA 19096-3450 |
| Mailing Address |
100 E Lancaster Ave Suite 256 Med Bld East Wynnewood PA 19096-3450 |
| Practice Telephone | 6106491970 |
| Mailing Telephone | 6106491970 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 25MA05492400 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | MD034158E | PA | Allopathic & Osteopathic Physicians |
| N | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
MD034158E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3852105 | 05 | |
| PA | 1162818 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 Walnut St Ste 210w, Philadelphia, PA 191063323 | 2159256402 | 2159250262 |
| 50 Monument Rd Ste 110, Bala Cynwyd, PA 190041706 | 6106676760 | 6106677206 |
| 601 Walnut St, Ste 210w, Philadelphia, PA 191063323 | 2159256402 | 2159250262 |
| Street Address |
100 E LANCASTER AVE SUITE 256 MED BLDG EAST |
| City | WYNNEWOOD |
| State | PA |
| Zip Code | 19096-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819079 | Robert D. Smink Jr. | Surgery | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2005-05-24 |
| 1164021713 | Clay Johnson | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-10-23 |
| 1447858725 | Anthony Montello | Nurse Anesthetist, Certified Registered | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-10-09 |
| 1982216107 | Delaware Valley I.d. Associates, P.C. | Clinic/Center | 100 E Lancaster Ave, Mob East 556, Wynnewood, PA 19096 | 2020-08-19 |
| 1831708551 | Farouk Al Chami | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1225647944 | Farah Olleik | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1134738859 | Talar Telvizian | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1962011833 | Fares Sukhon | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-27 |
| 1700494028 | Aviad Lavian | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-22 |
| 1700404472 | Dalia Amrom | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727866 | Jeffrey Glenn Johnston | Hospitalist | Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 | 2020-03-27 |
| 1326500331 | Maitri Pancholy | Student in an Organized Health Care Education/Training Program | Annenberg Center, G-10, 100 Lancaster Avenue, Wynnewood, PA 19096 | 2019-04-01 |
| 1306355987 | Karie Elizabeth Melton | Social Worker | 250 E Wynnewood Rd E12, Wynnewood, PA 19096 | 2017-09-26 |
| 1518320662 | Kaitlyn Kennard | Surgery | 100 Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096 | 2016-04-05 |
| 1366814675 | Linda Elkins | Counselor | 543 Haverford Rd, Wynnewood, PA 19096 | 2015-10-26 |
| 1619347655 | Tessa Kovick | Registered Nurse | 100 E Lancaster Ave Ste 114, Wynnewood, PA 19096 | 2015-10-02 |
| 1922476415 | Amy Lenrow | Skilled Nursing Facility | 1510 Powder Mill Lane, Wynnewood, PA 19096 | 2015-09-14 |
| 1144602855 | Casey Dajao | Internal Medicine | 100 E Lancaster Ave Ste 140, Wynnewood, PA 19096 | 2015-06-18 |
| 1649666223 | Benjamin Larson | Internal Medicine | 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096 | 2015-04-10 |
| 1760873285 | Kathleen Gilmartin | Nurse Practitioner | 100 East Lancaster Ave, Wynnewood, PA 19096 | 2015-02-06 |
| Find all providers in zip 19096 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881681278 | Melvin Roat | Ophthalmology | 100 E Lancaster Ave Ste 430, Wynnewood, PA 19096-3426 | 2005-09-30 |
| 1336148410 | Jacqueline R Carrasco | Ophthalmology | 100 E Lancaster Ave Ste 54, Wynnewood, PA 19096-3438 | 2005-07-20 |
| 1407128556 | Donelson R Manley M.d. P.C. | Ophthalmology | 100 E Lancaster Ave, Suite 314 Lankenau Hospital, Wynnewood, PA 19096-3450 | 2012-02-06 |
| 1366616625 | Louis X Santore Md PC | Ophthalmology | 100 E Lancaster Ave, Suite 36w, Wynnewood, PA 19096-3450 | 2008-04-17 |
| 1598935447 | Melvin I. Roat, Md, LLC | Ophthalmology | 100 E Lancaster Ave Ste 430, Wynnewood, PA 19096-3426 | 2008-03-06 |
| 1508911157 | Donelson Reeve Manley | Ophthalmology | 100 W Lancaster Avenue, Suite 314 Lankenau Hospital, Wynnewood, PA 19096 | 2007-01-24 |
| 1548209166 | Louis X Santore | Ophthalmology | 100 E Lancaster Ave, Suite 400 South, Wynnewood, PA 19096-3450 | 2006-06-06 |
| 1396731501 | Annesley Flanagan Fischer Stefanyszyn and Associates | Ophthalmology | 100 E Lancaster Ave, Suite 256 Mob East, Wynnewood, PA 19096-3450 | 2005-09-22 |
| 1245239318 | Mary A Stefanyszyn | Ophthalmology | 100 E Lancaster Ave, Suite 256 Medical Bldg East, Wynnewood, PA 19096-3450 | 2005-07-20 |
| 1659370633 | Joseph C Flanagan | Ophthalmology | 100 E Lancaster Ave, Suite 256 Medical Bldg East, Wynnewood, PA 19096-3450 | 2005-07-20 |
| Find all providers in WYNNEWOOD | ||||
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| 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.