DR. JEFFREY STUART PENNER (NPI# 1790883601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790883601 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY STUART PENNER |
| Credential | M.D. |
| Practice Address |
130 John F Kennedy Dr Ste 201 Atlantis FL 33462-1142 |
| Mailing Address |
900 Village Square Xing Ste 170 Palm Beach Gardens FL 33410-4549 |
| Practice Telephone | 5619674400 |
| Practice Fax Number | 5619675277 |
| Mailing Telephone | 5619674400 |
| Mailing Fax Number | 5619675277 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2019-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | ME0030380 | FL | Other Service Providers |
| Y | 207X00000X | Orthopaedic Surgery | ME30380 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 037798800 | 05 | |
| FL | AVMED | 206593 | 01 |
| FL | BCBS | 50805 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952846651 | Jeffrey Penner | Dentist | 4205 Hillsboro Pike Ste 101, Nashville, TN 37215-3381 | 2017-01-04 |
| 1104178078 | Jeffrey Penner | Psychologist | 8885 Rio San Diego Dr, Suite 325, San Diego, CA 92108-1624 | 2012-10-02 |
| Street Address |
130 JOHN F KENNEDY DR STE 201 |
| City | ATLANTIS |
| State | FL |
| Zip Code | 33462-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942829429 | Orthopaedic Specilaists of The Palm Beaches | Orthopaedic Surgery | 130 Jfk Dr Ste 136, Atlantis, FL 33462-6631 | 2020-04-14 |
| 1164963252 | Orthopedic Center of Palm Beach County Inc | Orthopaedic Surgery | 180 Jfk Dr, Suite 110, Atlantis, FL 33462-6641 | 2017-03-09 |
| 1720490105 | Brandon Shallop | Orthopaedic Surgery | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2014-05-20 |
| 1427360049 | Ross G Stone Md Pa | Orthopaedic Surgery | 120 Jfk Dr, Suite 124, Atlantis, FL 33462-6640 | 2010-07-12 |
| 1073767968 | Drs Penner Norris and Routman Pa | Orthopaedic Surgery | 130 Jfk Dr, Ste 201, Atlantis, FL 33462-1141 | 2008-11-05 |
| 1437349248 | Michael Alan Cohn | Orthopaedic Surgery | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2007-07-27 |
| 1841346426 | Juan Agudelo-rivera | Orthopaedic Surgery | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2007-01-26 |
| 1831124825 | Rommel R Francisco | Orthopaedic Surgery | 130 Jfk Dr, Suite 201, Atlantis, FL 33462-1141 | 2006-07-11 |
| 1083678452 | Marc Francis Matarazzo | Orthopaedic Surgery | 180 Jfk Dr, Atlantis, FL 33462-6641 | 2006-04-13 |
| 1285697094 | Gerard Domenic D'ariano | Orthopaedic Surgery | 180 Jfk Dr, Atlantis, FL 33462-6641 | 2006-04-11 |
| Find all providers in ATLANTIS | ||||
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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.