GREGORY PENNER, MD


Address: 331 Maine St, Suite 4, Brunswick, ME 04011-3358
Phone: 2077210911

GREGORY PENNER, MD (NPI# 1518026053) 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) 1518026053
Entity Type Organization
Organization Name GREGORY PENNER, MD
Practice Address 331 Maine St
Suite 4
Brunswick
ME 04011-3358
Practice Telephone 2077210911
Practice Fax Number 2077219729
Mailing Telephone 2077210911
Mailing Fax Number 2077219729
Enumeration Date 2006-12-08
Last Update Date 2008-04-10
Authorized Official Name GREGORY PENNER (OWNER AND PROVIDER)
Authorized Official Telephone 2077210911
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians

Office Location

Street Address 331 MAINE ST
SUITE 4
City BRUNSWICK
State ME
Zip Code 04011-3358

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265440911 Cristin Rose Richards Audiologist 331 Maine St, Suite 4, Brunswick, ME 04011-3358 2006-08-04
1972924561 Precious Shenandoah Dean Physician Assistant 331 Maine St, Suite 23, Brunswick, ME 04011-3358 2013-12-27
1912347550 Megan Elizabeth Lapointe Optometrist 331 Maine St, Suite 1, Brunswick, ME 04011-3358 2013-06-27
1063790285 Linda D Kelly Nurse Practitioner 331 Maine St, Suite 4, Brunswick, ME 04011-3358 2011-07-22
1548550635 Great Scott Audiology, Pa Audiologist 331 Maine St, Suite 4, Brunswick, ME 04011-3358 2011-04-11
1841448982 Eldercare At Parkview Internal Medicine 331 Maine St, Suite 15, Brunswick, ME 04011-3358 2008-09-03
1457544256 Andrew Paul Susen Physician Assistant 331 Maine St, Suite 23, Brunswick, ME 04011-3358 2007-08-24
1386845857 Parkview Medical Associates, Pa Surgery 331 Maine St, Brunswick, ME 04011-3358 2007-05-30
1023165487 Stemple D Johnson Surgery 331 Maine St, Suite 23, Brunswick, ME 04011-3358 2007-01-05
1225118953 Mark Alexander Optometrist 331 Maine St, Ste 1, Brunswick, ME 04011-3358 2006-10-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093276370 Convenientmd LLC Clinic/Center 193 Bath Road, Brunswick, ME 04011 2019-03-28
1326571241 Psychology Specialists of Maine Psychologist 14 Maine St., Suite 309, Brunswick, ME 04011 2017-04-07
1992249775 Avita Brunswick LLC Alzheimer Center (Dementia Center) 89 Admiral Fitch Way, Brunswick, ME 04011 2016-12-13
1215303433 Mary K Kunhardt Social Worker 116 Maquoit Rd, Brunswick, ME 04011 2015-08-12
1861803843 Gretchen Jane Stevens Counselor 136 Maine Street, Suite #6, Brunswick, ME 04011 2014-05-13
1356764567 Kid Function, Inc. Clinic/Center 225 Thomas Point Road, Brunswick, ME 04011 2014-01-23
1356788921 Jacques M. Reynolds Psychiatry & Neurology 81 Medical Center Dr # 2400, Brunswick, ME 04011 2013-05-23
1922369891 Charles Russell Thorp Pharmacist 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 2012-06-06
1992076111 Benjamin C. Tyau Physician Assistant 193 Bath Rd, Brunswick, ME 04011 2012-01-19
1841575339 Bluesage Therapies Inc. Social Worker 214 Raymond Road, Brunswick, ME 04011 2011-10-15
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114346251 Shane Griffith Otolaryngology 81 Medical Center Dr Ste 1150, Brunswick, ME 04011-2765 2014-04-15
1811028558 Coastal Head & Neck Associates, PC Otolaryngology 1107 Gloucester St, Brunswick, GA 31520-7053 2007-03-07
1992805253 Peter D O'connor Otolaryngology 331 Maine St Ste 4, Brunswick, ME 04011-3359 2006-09-25
1316935000 Sherman Aurthur Stevenson Otolaryngology 3205 Shrine Road, Suite 480, Brunswick, GA 31520-4722 2005-10-07
1104905405 Southern Coastal Ent PC Otolaryngology 2500 Starling St, Suite 403, Brunswick, GA 31520-4265 2006-11-06
1326159120 Karla K. Hansen Otolaryngology 2500 Starling Street, Suite 601, Brunswick, GA 31520-4271 2006-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477028884 Zvorufura Makura Otolaryngology 885 Union Street, Ste 145, Bangor, ME 04401 2018-10-11
1689930901 Christopher F Manning Otolaryngology 88 Talbot Ave, Rockland, ME 04841-2934 2012-04-11
1013209931 Angela Cheng-hung Tsai Otolaryngology 885 Union St Ste 145, Bangor, ME 04401-3073 2011-05-11
1265764484 El-silimy Md LLC Otolaryngology 73 Sweden St, Caribou, ME 04736-2101 2010-02-12
1992877013 Osama Ea El Silimy Otolaryngology 73 Sweden Street, Caribou, ME 04736 2006-11-14
1023105020 Charles R Gasser Otolaryngology 12 High St Ste 102, Lewiston, ME 04240-7634 2006-10-10
1043310931 Charles F Kava Otolaryngology 68 Ben Paul Ln, Rockport, ME 04856-4452 2006-09-22
1811094220 William Raymond Chasse Otolaryngology 325 B Kennedy Memorial Drive, Waterville, ME 04901 2006-09-20
1629086657 Michael P Joseph Otolaryngology 105 Mt Blue Cir, Suite 2, Farmington, ME 04938-6239 2006-08-04
1477574887 Michael Nmi Knowland Otolaryngology 130 Clifford St, South Portland, ME 04106-6520 2006-07-21
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Competitor

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City BRUNSWICK
Zip Code 04011

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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