DR. FRANK JOHN PENNA III (NPI# 1497982110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497982110 |
Entity Type | Individual |
Full Name | DR. FRANK JOHN PENNA III |
Credential | M.D. |
Practice Address |
9 Richland Medical Park Dr Ste 500 Columbia SC 29203-6870 |
Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
Practice Telephone | 8034342833 |
Practice Fax Number | 8034342834 |
Mailing Telephone | 8032967320 |
Mailing Fax Number | 8032967330 |
Enumeration Date | 2009-06-20 |
Last Update Date | 2020-06-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208800000X | Urology | 4301094191 | MI | Allopathic & Osteopathic Physicians |
Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
83812 | SC | Allopathic & Osteopathic Physicians |
N | 2088P0231X |
Urology Specialization: Pediatric Urology |
17727 | NH | Allopathic & Osteopathic Physicians |
Street Address |
9 RICHLAND MEDICAL PARK DR STE 500 |
City | COLUMBIA |
State | SC |
Zip Code | 29203-6870 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104866771 | Elizabeth M Berg | Nurse Practitioner | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2006-06-08 |
1417428111 | Mallory Elizabeth Sessions | Nurse Practitioner | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2018-12-07 |
1154811651 | Palmetto Health - University of South Carolina Medical Group | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2018-05-10 |
1699937219 | Bhairav V Shah | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2008-06-25 |
1447412127 | Varun Kumar Bhalla | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203 | 2008-06-25 |
1801917877 | Daniel F. Saad | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2007-04-03 |
1679507065 | David Eugene Brown IIi | Pediatrics | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2006-07-10 |
1962431304 | Jeffrey Thomas Ehreth | Urology | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2006-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
Find all providers in zip 29203 |
Taxonomy Code | 2088P0231X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
Specialization | Pediatric Urology |
Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245720747 | Palmetto Health - University of South Carolina Medical Group | Urology | 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203-6870 | 2018-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912299413 | Carolinas Physicians Network Inc. | Urology | 704 Gold Hill Rd, Suite 203, Fort Mill, SC 29715-8906 | 2011-05-03 |
1538471826 | St Francis Physician Services Inc | Urology | 131 Commonwealth Dr, Ste. 340, Greenville, SC 29615-4883 | 2010-07-02 |
1184947566 | Carolinas Physicians Network Inc | Urology | 2450 India Hook Rd, Rock Hill, SC 29732-3270 | 2010-03-12 |
1134386394 | Regina Derstine Monroe | Urology | 200 Patewood Dr, Suite A115, Greenville, SC 29615-3593 | 2008-05-16 |
1952508947 | J Todd Purves | Urology | 96 Jonathan Lucas St, Csb Room 644, Charleston, SC 29425-6200 | 2007-07-02 |
1073638870 | Shumyle Alam | Urology | 171 Ashley Ave, Charleston, SC 29425 | 2007-03-20 |
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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.