PENNINGTON MEDICAL CENTER (NPI# 1326492109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326492109 |
| Entity Type | Organization |
| Organization Name | PENNINGTON MEDICAL CENTER |
| Other Organization Name | PENNINGTON WOMEN'S CENTER |
| Practice Address |
3507 N University Ave Ste 175 Provo UT 84604-6692 |
| Practice Telephone | 8017198395 |
| Mailing Telephone | 8017198395 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |
| Authorized Official Name | DR. DAVID PENNINGTON (OWNER) |
| Authorized Official Telephone | 8017198395 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 5665828-1205 | UT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pennington Women's Center | Doing Business As Name - Organization |
| Street Address |
3507 N UNIVERSITY AVE STE 175 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-6692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922309723 | Ihc Health Services Inc | Obstetrics & Gynecology | 395 W Bulldog Blvd Fl 7, Provo, UT 84604-3311 | 2010-11-10 |
| 1487803482 | Richard W. Lohner | Obstetrics & Gynecology | 1701 No. 1450 E., Provo, UT 84604 | 2008-09-15 |
| 1952427031 | Scott S. Rees | Obstetrics & Gynecology | 920 N 500 W, Provo, UT 84604-3339 | 2007-03-21 |
| 1437225612 | David Harrison Broadbent | Obstetrics & Gynecology | 1355 N University Ave # 130, Suite # 130, Provo, UT 84604 | 2006-11-28 |
| 1942302211 | Clair Joseph Glenn | Obstetrics & Gynecology | 1055 N 300 W Ste 110, Provo, UT 84604-3381 | 2006-09-05 |
| 1386746659 | Julie Glenn Grover | Obstetrics & Gynecology | 1055 N 300 W Ste 303, Provo, UT 84604-3373 | 2006-09-05 |
| 1457469249 | George C Gourley | Obstetrics & Gynecology | 1055 N 300 W Ste 305, Provo, UT 84604-3373 | 2006-08-29 |
| 1639150485 | Jeffrey Charles Broberg | Obstetrics & Gynecology | 585 N 500 W, Provo, UT 84601-1548 | 2005-11-09 |
| 1902430531 | Brighter Path Addiction Medicine | Obstetrics & Gynecology | 619 N 500 W, Provo, UT 84601-1547 | 2020-02-21 |
| 1992279392 | Valley Obstetrics and Gynecology, P.C. | Obstetrics & Gynecology | 585 N 500 W, Provo, UT 84601-1548 | 2019-01-18 |
| Find all providers in PROVO | ||||
Please comment or provide details below to improve the information on PENNINGTON MEDICAL CENTER.
| 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.