KEVIN M PENWELL


Address: 11808 S May Ave, Oklahoma City, OK 73170-2560
Phone: 4057352370

KEVIN M PENWELL (NPI# 1841286333) 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) 1841286333
Entity Type Individual
Full Name KEVIN M PENWELL
Credential DO
Practice Address 11808 S May Ave
Oklahoma City
OK 73170-2560
Mailing Address 5701 Se 74th St
Suite E
Oklahoma City
OK 73135-1106
Practice Telephone 4057352370
Practice Fax Number 4057352369
Mailing Telephone 4056006869
Mailing Fax Number 4056006978
Enumeration Date 2005-09-21
Last Update Date 2015-02-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
3873 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK 100113200D 05

Office Location

Street Address 11808 S MAY AVE
City OKLAHOMA CITY
State OK
Zip Code 73170-2560

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841520897 Kyle Justin Gray Physician Assistant 11808 S May Ave, Oklahoma City, OK 73170-2560 2010-01-13
1669403085 James Thomas Cail IIi Family Medicine 11808 S May Ave, Oklahoma City, OK 73170-2560 2006-07-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144847542 Premier Healthcare, Aprn-cnp Nurse Practitioner 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 2020-07-01
1982233565 Bethany Ann Arthur Student in an Organized Health Care Education/Training Program 661 Waterview Rd, Okc, OK 73170 2020-04-06
1952868929 Ariana N. Ree Peer Specialist 328 Sw 147th St, Oklahoma City, OK 73170 2019-02-26
1780151431 Looking Up Counseling Counselor 709 Sw 119th Ste. B1, Okc, OK 73170 2018-10-31
1902385859 Danell Marie Rahni Psychologist 17300 Serrano Dr, Oklahoma City, OK 73170 2018-08-11
1619468378 Nhan Nguyen Student in an Organized Health Care Education/Training Program 10504 S Miller Ave, Oklahoma City, OK 73170 2018-05-29
1740709906 Hall Podiatry LLC Clinic/Center 20 Sw 132nd Terrace, Moore, OK 73170 2017-09-19
1942727896 Adelaide V South Dietitian, Registered 12216 S Land Ave, Oklahoma City, OH 73170 2017-08-22
1477073609 Mary Ann Hayden Nurse Practitioner 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 2017-06-20
1245762293 Michael David Detten Physical Therapist 10740 S May Ave Ste 111, Oklahoma City, OK 73170 2017-03-29
Find all providers in zip 73170

Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811959166 Andrew Mark Hoelscher Emergency Medicine 8105 Nw Expressway, Oklahoma City, OK 73162-6004 2006-04-03
1255327417 John D Wells Emergency Medicine 34 Sw 89th St, Oklahoma City, OK 73139-8510 2005-09-23
1477117638 Meryl Elaine Williamson Emergency Medicine 5501 N Portland Ave, Oklahoma City, OK 73112-2074 2019-04-23
1861971699 Emma Zheng Emergency Medicine 921 Ne 13th St, Oklahoma City, OK 73104-5007 2018-08-13
1174892533 Faster Care, LLC Emergency Medicine 8105 Nw Expressway, Oklahoma City, OK 73162-6004 2011-12-14
1609154848 Trinh Nam Ho Emergency Medicine 4401 S Western Ave, Oklahoma City, OK 73109-3413 2011-07-21
1295839280 Ibmc Er Physicians Emergency Medicine 3300 Nw Expressway St, Oklahoma City, OK 73112-4418 2006-09-11
1871512087 Deaconess Emergency Physicians, LLC Emergency Medicine 5501 N Portland Ave, Oklahoma City, OK 73112-2074 2006-07-19
1760440879 Brent C Wilson Emergency Medicine 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 2006-05-01
1073571154 Richard L Myers Emergency Medicine 3300 Nw Expressway, Oklahoma City, OK 73112-4418 2006-05-01
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73170

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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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