DR. JEFFREY PENMAN (NPI# 1437178076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437178076 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY PENMAN |
| Credential | M.D. |
| Practice Address |
505 W 400 N Orem UT 84057-1950 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8017143450 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 10410184-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD6108 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518990910 | Jeffrey Alan Penman | Obstetrics & Gynecology | 3920 St Francis Way, Suite 100, Lafayette, IN 47905-4917 | 2006-07-09 |
| Street Address |
505 W 400 N |
| City | OREM |
| State | UT |
| Zip Code | 84057-1950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689221855 | Breanna Horito | Registered Nurse | 505 W 400 N, Orem, UT 84057-1950 | 2019-08-22 |
| 1992211445 | Ihc Health Services Inc | Pediatrics | 505 W 400 N, Orem, UT 84057-1950 | 2017-12-20 |
| 1194169441 | Ji Hwan Kim | Family Medicine | 505 W 400 N, Orem, UT 84057-1950 | 2013-04-17 |
| 1912249020 | Carly Sorenson | Pediatrics | 505 W 400 N, Orem, UT 84057-1950 | 2013-03-27 |
| 1922351550 | Ihc Health Services Inc | Obstetrics & Gynecology | 505 W 400 N, Orem, UT 84057-1950 | 2012-10-19 |
| 1871859983 | Benjamin Henry Greenfield | Pediatrics | 505 W 400 N, Orem, UT 84057-1950 | 2012-04-03 |
| 1801033360 | Thomas Logan Bauer | Physician Assistant | 505 W 400 N, Orem, UT 84057 | 2009-01-20 |
| 1679761365 | John Douglas Mccarter | Obstetrics & Gynecology | 505 W 400 N, Orem, UT 84057-1950 | 2007-10-09 |
| 1437343316 | Marie Shelton | Family Medicine | 505 W 400 N, Orem, UT 84057-1950 | 2007-09-04 |
| 1740305853 | Ihc Health Services Inc | Clinic/Center | 505 W 400 N, Orem, UT 84057-1950 | 2007-03-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1750911996 | Joanna Ramirez | Behavioral Analyst | 1443 West 800 North #103, Orem, UT 84057 | 2020-01-15 |
| 1790321842 | Nicole Rose Mcdougal | Speech-Language Pathologist | 527 400 N, Ste 2, Orem, UT 84057 | 2019-11-25 |
| 1871151837 | Robert B Fujiki | Speech-Language Pathologist | 1935 N90 W, Orem, UT 84057 | 2019-06-04 |
| 1669965562 | Brian Quigley Inc. | Hearing Instrument Specialist | 895 West Center Street, Orem, UT 84057 | 2018-06-14 |
| 1568960250 | Catherine Collins | Nurse Practitioner | 700 W. 800 N., Suite 220, Orem, UT 84057 | 2018-01-27 |
| 1821596073 | Venice Lucia Wilkes | Physician Assistant | 700 W 800 N # 220, Orem, UT 84057 | 2018-01-23 |
| 1851811160 | Jessie Carlson | Behavior Technician | 475 West 260 North, Orem, UT 84057 | 2017-06-27 |
| 1588013890 | Li Ping Su | Marriage & Family Therapist | 1027 W 1033 N, S108, Orem, UT 84057 | 2016-06-07 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083145445 | Landon Robert Hendricks | Pediatrics | 848 N 980 W, Orem, UT 84057-7709 | 2017-03-27 |
| 1780005140 | Joseph M Molina Md Professional Corporation - Southern California | Pediatrics | 1409 S State St, Orem, UT 84097-7703 | 2014-01-02 |
| 1881828036 | Frances Y. Liu | Pediatrics | 935 S Orem Blvd, Orem, UT 84058-5011 | 2009-05-03 |
| 1376550855 | Gregory Scott Wynn | Pediatrics | 716 W 800 N Ste 300, Orem, UT 84057-6300 | 2006-08-01 |
| 1114985314 | Ernest Andrew Bailey | Pediatrics | 716 W 800 N, Suite 300, Orem, UT 84057-6300 | 2006-05-04 |
| 1205834843 | Dale R Gerstmann | Pediatrics | 750 W 800 N, Orem, UT 84057-3660 | 2005-07-08 |
| 1992211445 | Ihc Health Services Inc | Pediatrics | 505 W 400 N, Orem, UT 84057-1950 | 2017-12-20 |
| 1912249020 | Carly Sorenson | Pediatrics | 505 W 400 N, Orem, UT 84057-1950 | 2013-03-27 |
| 1871859983 | Benjamin Henry Greenfield | Pediatrics | 505 W 400 N, Orem, UT 84057-1950 | 2012-04-03 |
| 1225340003 | Dustin Edward Monroe | Pediatrics | 750 W 800 N, Orem, UT 84057-3660 | 2010-07-08 |
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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.