DR. SIMON P PENNINGS (NPI# 1316936131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316936131 |
| Entity Type | Individual |
| Full Name | DR. SIMON P PENNINGS |
| Credential | MD |
| Practice Address |
613 Campus Dr Suite 200 Abingdon VA 24210-9703 |
| Practice Telephone | 2766281186 |
| Practice Fax Number | 2766288507 |
| Mailing Telephone | 2766281186 |
| Mailing Fax Number | 2766288507 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2017-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0101034401 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 4583916 | 01 | |
| JD | 02 | 01 | |
| ANTHEM | 064411 | 01 | |
| VA | 1316936131 | 05 | |
| VA | 5642507 | 05 | |
| BLUE CLASSIC | 3054602 | 01 | |
| OPTIMA SENTARA | 43304 | 01 |
| Street Address |
613 CAMPUS DR SUITE 200 |
| City | ABINGDON |
| State | VA |
| Zip Code | 24210-9703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447248745 | Laramie Curtis Triplett | Family Medicine | 613 Campus Dr, Suite 200, Abingdon, VA 24210-9703 | 2005-10-11 |
| 1669907622 | Mary Mudd | Nurse Practitioner | 613 Campus Dr, Suite 100, Abingdon, VA 24210-9703 | 2017-04-27 |
| 1932646163 | Steven Croghan | Nurse Practitioner | 613 Campus Dr, Suite 100, Abingdon, VA 24210-9703 | 2017-01-25 |
| 1386028439 | Johnston Memorial Hospital, Inc | Clinic/Center | 613 Campus Dr, Suite 300, Abingdon, VA 24210-9703 | 2015-07-17 |
| 1043611882 | Virginia A. Thurston | Nurse Practitioner | 613 Campus Dr, Suite 200, Abingdon, VA 24210-9703 | 2014-09-11 |
| 1184936742 | Erin Andrea Koscinski | Family Medicine | 613 Campus Dr, Suite 200, Abingdon, VA 24210-9703 | 2010-07-11 |
| 1013142850 | Lura S Miller | Family Medicine | 613 Campus Dr, Suite 200, Abingdon, VA 24210-9703 | 2009-05-22 |
| 1659532778 | Sherry L Barrett | Nurse Practitioner | 613 Campus Dr, Suite 200, Abingdon, VA 24210-9703 | 2008-06-20 |
| 1740474527 | Rasmiyah Majdy Jastan | Family Medicine | 613 Campus Dr, Suite 200, Abingdon, VA 24210 | 2007-09-05 |
| 1538364856 | Thomas G Sutton | Anesthesiology | 613 Campus Dr, Suite 100, Abingdon, VA 24210-9703 | 2007-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184192890 | Clinton Samuel Steve Webb | Nurse Practitioner | 406 W Main St Ste 100, Abingdon, VA 24210 | 2018-11-12 |
| 1528565801 | Crossroads Treatment Center of Petersburg, PC | Clinic/Center | 301 Falls Dr Nw Ste 353, Abingdon, VA 24210 | 2018-04-12 |
| 1780189035 | Vickie Lynne Beam | Speech-Language Pathologist | Washington County Public Schools, 812 Thompson Drive, Abingdon, VA 24210 | 2018-03-28 |
| 1093235814 | Meagan R Compton | Speech-Language Pathologist | 18596 Lee Hwy Suite B, Abingdon, VA 24210 | 2017-06-22 |
| 1710433404 | Highlands Community Pharmacy Inc | Pharmacy | 16400 Jeb Stuart Highway, Abingdon, VA 24210 | 2016-09-01 |
| 1548632417 | Lauren Irene Esposito | Audiologist | 319 Falls Drive, Abingdon, VA 24210 | 2015-10-30 |
| 1073909784 | Michael Justice | Pharmacist | 1 Food City Circle, Abingdon, VA 24210 | 2015-04-09 |
| 1245574177 | Watauga Medical Group | Family Medicine | 300 Valley St, Ne, Abingdon, VA 24210 | 2012-11-15 |
| 1083908883 | Kimberly Regina Mullins | Occupational Therapy Assistant | 17575 Havens Rest Rd., Abingdon, VA 24210 | 2011-06-09 |
| 1902131170 | Sara Jeannette Creekmore | Family Medicine | 328-a Cummings St., Abingdon, VA 24210 | 2009-10-06 |
| Find all providers in zip 24210 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922051705 | Brian L Maggard | Emergency Medicine | 351 Court Street Ne, Abingdon, VA 24210 | 2006-05-19 |
| 1629075403 | Steven Douglas Sikora | Emergency Medicine | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7659 | 2005-07-07 |
| 1811348535 | Tyler Dexter Kirk | Emergency Medicine | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2016-06-23 |
| 1811395585 | Cove Creek Emergency Physicians Medical Group, Inc. | Emergency Medicine | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2014-12-12 |
| 1366888935 | Gail Wiley Tolton | Emergency Medicine | 16000 Johnston Memorial Dr, Abingdon, VA 24211 | 2013-05-22 |
| 1578821070 | Jmh Emergency Physicians LLC | Emergency Medicine | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7659 | 2012-05-03 |
| 1912278508 | Appalachian Emergency Physicians | Emergency Medicine | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7659 | 2012-01-13 |
| 1609046747 | David Norman Simmons Jr. | Emergency Medicine | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7659 | 2008-03-05 |
| 1477735355 | Terry Gene Sanders II | Emergency Medicine | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7659 | 2007-12-03 |
| 1134328776 | Brian Christopher Dawson | Emergency Medicine | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7659 | 2007-07-13 |
| Find all providers in ABINGDON | ||||
Please comment or provide details below to improve the information on DR. SIMON P PENNINGS.
| 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.