DR. EMILY RENEE PENICK (NPI# 1861790453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861790453 |
| Entity Type | Individual |
| Full Name | DR. EMILY RENEE PENICK |
| Credential | MD |
| Practice Address |
8901 Rockville Pike Bethesda MD 20889 |
| Mailing Address |
8901 Rockville Pike Bethesda MD 20889-0001 |
| Practice Telephone | 3014001303 |
| Mailing Telephone | 3014001303 |
| Enumeration Date | 2011-03-05 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 2012028153 | MO | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 2012028153 | MO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 984311000 | 2539680325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598031411 | Emily Jane Penick | Anesthesiology | 800 Washington St, Suite 298, Boston, MA 02111-1552 | 2012-03-26 |
| Street Address |
8901 ROCKVILLE PIKE |
| City | BETHESDA |
| State | MD |
| Zip Code | 20889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182775 | Robert Nee | Internal Medicine | 8901 Rockville Pike, Bethesda, MD 20889-3026 | 2005-05-23 |
| 1528668829 | Jessica R Wonn | Dietitian, Registered | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2020-10-27 |
| 1730790957 | Zaneta Kinga Corral | Dentist | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2020-08-11 |
| 1346865862 | Min Chen | Student in an Organized Health Care Education/Training Program | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2020-06-10 |
| 1902426422 | Rachel Hyeun Han | Student in an Organized Health Care Education/Training Program | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2020-04-24 |
| 1790313997 | Timothy Joseph Banks | Student in an Organized Health Care Education/Training Program | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2020-04-01 |
| 1801424080 | Charles Daniel Nicoli | Student in an Organized Health Care Education/Training Program | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2020-04-01 |
| 1346878626 | Lorener Brayboy | Social Worker | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2020-03-31 |
| 1467080788 | Herman Otto Ira Pfaeffle | Student in an Organized Health Care Education/Training Program | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2020-03-31 |
| 1386272805 | Zachary Cyrus Affrin | Student in an Organized Health Care Education/Training Program | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2020-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987034 | Michael Franco | Student in an Organized Health Care Education/Training Program | Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-03-16 |
| 1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
| 1104470657 | Adam Pink | Dentist | 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 | 2019-08-01 |
| 1659939155 | Matthew Heller | Student in an Organized Health Care Education/Training Program | Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-05-30 |
| 1891258034 | Jane Ann Crotteau | Student in an Organized Health Care Education/Training Program | Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-04-12 |
| 1417434341 | Andrea Baeder | Dentist | 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 | 2018-07-24 |
| 1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
| 1790225704 | Sylvia Best | Pharmacist | 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 | 2017-02-24 |
| 1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
| 1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083008973 | Rachael Fuller Cleberg | Obstetrics & Gynecology | 10215 Fernwood Rd Ste 250, Bethesda, MD 20817-1177 | 2015-03-27 |
| 1477819175 | Anna Buabbud | Obstetrics & Gynecology | 4920 Elm St # 225, Medical Faculty Associates Inc, Bethesda, MD 20814-2924 | 2012-04-06 |
| 1265702179 | Dara Shahriar Afshar | Obstetrics & Gynecology | 7115 Arrowood Rd, Bethesda, MD 20817-2808 | 2012-01-09 |
| 1912232372 | Howard Raymond Underwood | Obstetrics & Gynecology | 4502 Highland Ave, Bethesda, MD 20814-4608 | 2009-10-02 |
| 1184866980 | Jacqueline Miller Braden | Obstetrics & Gynecology | 8930 Brown Dr Bldg 92nd, Bethesda, MD 20889-5629 | 2009-03-25 |
| 1780824599 | Joshua Charles Combs | Obstetrics & Gynecology | 4494 North Palmer Road, Bethesda, MD 20889-0001 | 2009-03-06 |
| 1821250903 | Amanda Elizabeth Owens | Obstetrics & Gynecology | 8930 Brown Dr., Dept Obgyn, Bldg 9, Bethesda, MD 20889 | 2008-06-30 |
| 1316099823 | Melissa A. Merideth | Obstetrics & Gynecology | Nih, 10 Center Drive, Bdg 10, 10c103, Msc 1851, Bethesda, MD 20892-0001 | 2007-01-17 |
| 1851440721 | Pamela Stratton | Obstetrics & Gynecology | 1e-3140 Crc, 10 Center Dr. Msc 1109, Bethesda, MD 20892-0001 | 2007-01-09 |
| 1639250004 | Michael Wittenberger | Obstetrics & Gynecology | 10 Center Dr Msc 1109, Building 10, Crc, 1 East, Rm. 1-3140, Bethesda, MD 20892-0001 | 2006-10-18 |
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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.