KIRSTEN N PENNELL (NPI# 1518128909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518128909 |
| Entity Type | Individual |
| Full Name | KIRSTEN N PENNELL |
| Credential | MD |
| Practice Address |
4092 Foxwood Dr. Ste 101 Va Beach VA 23462-5225 |
| Mailing Address |
P.o. Box 7549 Portsmouth VA 23707-0549 |
| Practice Telephone | 7574674200 |
| Practice Fax Number | 7576860541 |
| Mailing Telephone | 7576863525 |
| Mailing Fax Number | 7576860541 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2015-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0101245787 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 0116018438 | VA | Student, Health Care |
| Street Address |
4092 FOXWOOD DR. STE 101 |
| City | VA BEACH |
| State | VA |
| Zip Code | 23462-5225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922209592 | April M Shackleford | Emergency Medicine | 4092 Foxwood Dr., Ste 101, Va Beach, VA 23462-5225 | 2007-05-30 |
| 1619135415 | Christopher John Maples | Emergency Medicine | 4092 Foxwood Dr., Ste 101, Va Beach, VA 23462-5225 | 2008-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841450863 | Heidi A Best | Emergency Medicine | 4092 Foxwood Dr. Ste 101, Va Beach, VA 23462-5225 | 2008-06-12 |
| 1922209592 | April M Shackleford | Emergency Medicine | 4092 Foxwood Dr., Ste 101, Va Beach, VA 23462-5225 | 2007-05-30 |
| 1316356371 | Matthew Hobson Jones | Emergency Medicine | 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 | 2014-08-04 |
| 1144515651 | Timothy R Faust | Emergency Medicine | 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 | 2011-06-13 |
| 1568751865 | Ryan Paul Capps | Emergency Medicine | 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 | 2011-04-07 |
| 1972824332 | Leah Kream | Emergency Medicine | 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 | 2010-06-18 |
| 1164657953 | Charles Ives Beaudette | Emergency Medicine | 4092 Foxwood Dr, Ste 101, Va Beach, VA 23462-5225 | 2009-05-21 |
| 1770749376 | Ronald Bayard Brown | Emergency Medicine | 4092 Foxwood Dr. Ste 101, Va Beach, VA 23462-5225 | 2008-08-03 |
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|---|---|---|---|---|
| 1134734437 | Nh Digital Health Services, LLC | Emergency Medicine | 8650 Sudley Rd Ste 411, Manassas, VA 20110-4416 | 2020-09-14 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1073020194 | Colonial Heights Physicians, LLC | Emergency Medicine | 60 East Roslyn Court, Colonial Heights, VA 23834 | 2018-01-10 |
| 1265950372 | True North Health Navigation LLC | Emergency Medicine | 301 Virginia St Unit 609, Richmond, VA 23219-4172 | 2017-09-08 |
| 1780102608 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 105 Cameron Rd, Forest, VA 24551-1342 | 2017-08-30 |
| 1346763604 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 1330 Armory Drive, Franklin, VA 23851-2420 | 2017-07-19 |
| 1528581063 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 1583 N Main St Ste A, Marion, VA 24354-4317 | 2017-07-17 |
| 1245765247 | John Coles Wiggins IIi | Emergency Medicine | Emergency Medicine (division of Ultrasound), 1250 E Marshall St, Richmond, VA 23298-5051 | 2017-04-27 |
| 1225563679 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 4903 Nine Mile Rd, Richmond, VA 23223-5738 | 2017-04-24 |
| 1639602345 | Vishal Kant Goswami | Emergency Medicine | 4320 Seminary Rd Dept Of, Alexandria, VA 22304-1535 | 2017-04-10 |
| Find all providers with the same taxonomy | ||||
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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.