DR. MICHAEL A PENNINGTON (NPI# 1558364158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558364158 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A PENNINGTON |
| Credential | M.D. |
| Practice Address |
6801 Airport Blvd Mobile AL 36608-3709 |
| Mailing Address |
Po Box 91119 Mobile AL 36691-1119 |
| Practice Telephone | 2514600326 |
| Practice Fax Number | 2514602846 |
| Mailing Telephone | 2514600326 |
| Mailing Fax Number | 2514602846 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2018-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
20733 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BC/BS OF AL | 051030077PEN | 01 |
| AL | PE000030077 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912921909 | Michael D Pennington | Physical Therapist | 331 S. Pacific Hwy., Suite A, Talent, OR 97540-6650 | 2006-07-26 |
| 1730172602 | Michael A Pennington | Physical Therapist | 701 M St Ne, Suite 102, Auburn, WA 98002-4591 | 2005-08-25 |
| 1174000798 | Michael Pennington | Case Manager/Care Coordinator | 2621 Victory Pkwy, Cincinnati, OH 45206-1754 | 2018-07-26 |
| 1912425653 | Michael Pennington | Counselor | 3000 Bridge Ave Ste 4, Cleveland, OH 44113-3086 | 2017-09-01 |
| 1508311903 | Michael Pennington | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2016-08-16 |
| Street Address |
6801 AIRPORT BLVD |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041203 | David R. Hassell | Radiology | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2005-05-24 |
| 1457975708 | Chastity Dawn Huguley | Nurse Practitioner | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2020-06-02 |
| 1326690223 | Deanna D Ryan | Nurse Practitioner | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2019-07-10 |
| 1730744012 | Ashly M. Acosta | Nurse Practitioner | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2019-05-02 |
| 1306302948 | Kelsey Sims Welch | Nurse Practitioner | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2019-02-19 |
| 1528532140 | Robert Brooks Stephens Jr. | Nurse Anesthetist, Certified Registered | 6801 Airport Blvd, Mobile, AL 36608-3785 | 2019-01-16 |
| 1366913683 | Kristine Boyle | Pharmacist | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2018-12-15 |
| 1003392036 | Katherine Harrelson | Nurse Practitioner | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2018-07-12 |
| 1952819542 | Brooklyn Hamm | Nurse Anesthetist, Certified Registered | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2018-01-17 |
| 1033626528 | Lindsey Lovorn Diehl | Nurse Anesthetist, Certified Registered | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2018-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154716603 | Shane Joseph | Radiology | 2451 Fillingim St # 315, Mobile, AL 36617-2238 | 2015-04-01 |
| 1164692711 | Melanie Helene Clark | Radiology | 4354a Old Shell Rd # 324, Mobile, AL 36608-2011 | 2008-03-10 |
| 1598786683 | Charles T. Lenton Jr. | Radiology | 350 W Delwood Dr, Mobile, AL 36606-1723 | 2006-07-22 |
| 1881632040 | Sammie I. Long | Radiology | 1817 Spring Brook Ct, Mobile, AL 36609-2587 | 2006-06-02 |
| 1215930813 | Rife E Huckabee | Radiology | 6576 Airport Blvd, Bldg C-2, Mobile, AL 36608-6768 | 2005-05-27 |
| 1326041203 | David R. Hassell | Radiology | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2005-05-24 |
| 1609434067 | Usa Health Physician Billing Services LLC | Radiology | 2451 University Hospital Dr, Mobile, AL 36617-2300 | 2019-05-31 |
| 1770978454 | Michael Ferrer Aguilar | Radiology | 2451 University Hospital Dr, Mobile, AL 36617-2300 | 2015-03-31 |
| 1427478106 | Christopher H Bolling Jr. | Radiology | 3719 Dauphin Street, Mobile, AL 36608-1753 | 2014-04-22 |
| 1659799237 | Brian Kenneth Wood | Radiology | 2451 Fillingim St, Dept of Radiology, Mobile, AL 36617-2238 | 2014-04-01 |
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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.