JOHN PENLEY


Address: 1630 Bogie Lake Rd, White Lake, MI 48383
Phone: 7344740783

JOHN PENLEY (NPI# 1326583170) 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) 1326583170
Entity Type Individual
Full Name JOHN PENLEY
Credential AT
Practice Address 1630 Bogie Lake Rd
White Lake
MI 48383
Mailing Address Po Box 1356
Brighton
MI 48116
Practice Telephone 7344740783
Mailing Telephone 7344740783
Enumeration Date 2017-01-04
Last Update Date 2017-01-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081S0010X Physical Medicine & Rehabilitation
Specialization: Sports Medicine
2601001645 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 1630 BOGIE LAKE RD
City WHITE LAKE
State MI
Zip Code 48383

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902431653 Recovery Mobile Clinic Clinic/Center 3050 Steeple Road, White Lake, MI 48383 2020-03-03
1538656590 Papuga Transportation Inc Non-emergency Medical Transport (VAN) 5924 Raup Rd, White Lake, MI 48383 2018-04-16
1083957146 Kristin Varner Social Worker 6090 Rosewood Pkwy, White Lake, MI 48383 2013-03-27
1285868497 Gloria Lynne Wilson Registered Nurse 6120 Rosewood Parkway, White Lake, MI 48383 2009-05-04
1215950019 Thomas G Czarnecki Chiropractor 7025 Capri Dr, White Lake, MI 48383 2006-07-25
1669651550 Josephine Mary Marks Registered Nurse 3874 Silver Birch, White Lake, MI 48383-1062 2007-10-29
1346794708 Marisa Matthews Dental Hygienist 5780 Eagle Rd, White Lake, MI 48383-1210 2016-08-15
1184987299 Angela Joerin Psychologist 5186 Lindholm Dr, White Lake, MI 48383-1447 2012-06-22
1124176508 Brian Wade Dawson Social Worker 5150 Lake Grove Dr, White Lake, MI 48383-1452 2007-01-08
1730675000 Amanda Vanooyen Occupational Therapist 4695 Fox Chase Dr, White Lake, MI 48383-1682 2018-07-10
Find all providers in zip 48383

Taxonomy Information

Taxonomy Code 2081S0010X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Sports Medicine

Taxonomy Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043360720 Matthew S Woodruff Physical Medicine & Rehabilitation 2364 Redbud Dr, Howell, MI 48855-6410 2007-01-12
1417004938 Margaret K Frens Physical Medicine & Rehabilitation 494 W 17th St Unit 2, Holland, MI 49423-3437 2007-01-05
1760455513 Sarah Bethany Mcdade Physical Medicine & Rehabilitation 27209 Lahser Rd, Suite 221, Southfield, MI 48034-8401 2006-02-10
1164072732 Travis Kiser Physical Medicine & Rehabilitation 1720 Abbey Rd Ste A, East Lansing, MI 48823-6363 2019-09-16
1912409897 Gary Kufel Physical Medicine & Rehabilitation 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 2018-03-06
1225539364 Christopher James Hendrickson Physical Medicine & Rehabilitation 901 Lakeshore Dr, Ishpeming, MI 49849-1367 2018-02-23
1104337120 Ivyrehab Michigan, LLC Physical Medicine & Rehabilitation 400 Rounds Dr, Fenton, MI 48430-1724 2017-10-17
1679092696 Kraig Carpenter Physical Medicine & Rehabilitation 10809 S Saginaw St, Grand Blanc, MI 48439-7033 2017-09-11
1396288031 Wellness Medical P.C. D/b/a Somerset Regenerative Medicine Physical Medicine & Rehabilitation 1080 Kirts Blvd, Suite 700, Troy, MI 48084-4881 2016-11-29
1891166690 Jenna Maki Physical Medicine & Rehabilitation 602 Michigan Ave, Holland, MI 49423-4918 2015-10-19
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Competitor

Search similar providers

City WHITE LAKE
Zip Code 48383

Improve Information

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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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