DR. DAVID MORGAN PENN (NPI# 1982822540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982822540 |
| Entity Type | Individual |
| Full Name | DR. DAVID MORGAN PENN |
| Credential | M.D. |
| Practice Address |
2200 Nw 26th St Mayo Clinic Health System Owatonna MN 55060-5503 |
| Mailing Address |
2200 Nw 26th St Owatonna MN 55060-5503 |
| Practice Telephone | 5074511120 |
| Mailing Telephone | 5074511120 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2014-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
52857 | MN | Allopathic & Osteopathic Physicians |
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
37112 | IA | Ambulatory Health Care Facilities |
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
5217 | NE | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760644355 | David Ross Penn | Radiology | 1035 Southcrest Dr Ste 250, Stockbridge, GA 30281-6117 | 2008-06-26 |
| 1811958358 | David Penn | Physical Therapist | 3202 4th St Ste 101, Longview, TX 75605-5143 | 2006-03-31 |
| 1477968485 | David Penn | Family Medicine | 4300 B St Ste 200, Anchorage, AK 99503-5933 | 2014-06-27 |
| 1992143812 | David Louis Penn | Neurological Surgery | 75 Francis St, Suite Ab-136, Boston, MA 02115-6110 | 2013-06-13 |
| 1265611875 | David J Penn | Internal Medicine | 1838 Greene Tree Rd, Ste 300, Pikesville, MD 21208 | 2007-10-31 |
| 1578682241 | David J Penn | Physician Assistant | 730 Palisade Ave, First Floor, Teaneck, NJ 07666-3144 | 2007-03-27 |
| 1215025929 | David L Penn | Psychologist | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-10 |
| 1295775922 | David J Penn | Family Medicine | 211 E Main St, Carbondale, KS 66414-9607 | 2006-06-08 |
| Street Address |
2200 NW 26TH ST MAYO CLINIC HEALTH SYSTEM |
| City | OWATONNA |
| State | MN |
| Zip Code | 55060-5503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324846 | Sara L. Packard | Physician Assistant | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2005-05-27 |
| 1275146680 | Jessica K Phelps | Nurse Practitioner | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2020-08-25 |
| 1588299804 | Cayla Kathleen Witte | Physician Assistant | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2020-03-06 |
| 1457909384 | Aicha Sylvie Katty | Nurse Practitioner | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2019-09-04 |
| 1366091266 | Melanie Kay Busch | Nurse Practitioner | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2019-09-04 |
| 1013576982 | Brady Michael Gross | Physician Assistant | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2019-06-13 |
| 1023573193 | Kayla Marie Cook | Physician Assistant | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2019-02-04 |
| 1467926618 | Megan Alm | Physician Assistant | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2019-01-21 |
| 1356814271 | Mallory Lynn Berry | Family Medicine | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2019-01-03 |
| 1801313796 | Melinda Louann Wiese | Nurse Practitioner | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2017-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669936480 | Lee Joseph Bakewell | Nurse Practitioner | 2200 Nw 26th St, Owatonna, Owatonna, MN 55060 | 2019-01-25 |
| 1275028227 | Karen Brennhofer | Audiologist | 2200 Nw 26th St Apt 309, Owatonna, MN 55060 | 2018-06-22 |
| 1801326418 | Katharyn Kristin Stricklin | Registered Nurse | 1961 Premier Drive, Suite 340 Mankato, Mankato, MN 55060 | 2017-06-15 |
| 1134666753 | Holly Christianson | Social Worker | 2575 Harvest Lane Nw, Owatonna, MN 55060 | 2017-01-20 |
| 1346613031 | Birchwood Cottages | Assisted Living Facility | 1905 Austin Road, Owatonna, MN 55060 | 2015-11-04 |
| 1881080067 | Cory Michael Kopas | Chiropractor | 130 26th Street Nw, Owatonna, MN 55060 | 2015-04-14 |
| 1528456613 | Quality Home Health Care Inc. | Home Health | 201 East Front Street, Owatonna, MN 55060 | 2014-12-26 |
| 1194017624 | Amy Louise Haycraft | Nurse Practitioner | South Central Human Relations Center, 610 Florence Ave, Owatonna, MN 55060 | 2011-05-02 |
| 1710123971 | Rahn Optometry Inc | Optometrist | 1130 W. Frontage Rd, Owatonna, MN 55060 | 2008-12-18 |
| 1063616993 | Michael John Dickman | Dentist | 1414 S Oak Ave Suite Five, Owatonna, MN 55060 | 2007-06-13 |
| Find all providers in zip 55060 | ||||
| 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 |
|---|---|---|---|---|
| 1851377162 | George Marcus | Radiology | 134 Southview St, Owatonna, MN 55060-3241 | 2005-12-19 |
| 1144235714 | Imaging Associates, Pa | Radiology | 903 S Oak Ave, Owatonna, MN 55060-3200 | 2006-07-30 |
| 1114942497 | Richard J Vanasek | Radiology | 903 S Oak Ave, Owatonna, MN 55060-3200 | 2006-07-13 |
| 1205869799 | Dennis J Rinehart | Radiology | 903 S Oak Ave, Owatonna, MN 55060-3200 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967234 | Central Imaging LLC | Radiology | 3351 Roosevelt Rd, Saint Cloud, MN 56301-6270 | 2020-09-17 |
| 1053930578 | Dmitriy Shchegolev | Radiology | 14346 Wilson Dr, Eden Prairie, MN 55347-4179 | 2020-04-14 |
| 1306333109 | John Warren Kirby | Radiology | 200 1st St Sw # 507284, Rochester, MN 55905 | 2018-04-17 |
| 1861904765 | Stephanie Dykema | Radiology | 6809 Sandlewood Rd, Woodbury, MN 55125-2175 | 2017-10-31 |
| 1609392349 | Rai Keystone Imaging Services, LLC | Radiology | 5775 Wayzata Blvd Ste 400, St Louis Park, MN 55416-1271 | 2017-08-15 |
| 1235687088 | Jeffery E. Illman | Radiology | 1082 Southern Ridge Dr Sw, Rochester, MN 55902-1854 | 2016-09-21 |
| 1407226582 | Keith W. Johnson | Radiology | 450 Bayview Dr, Roseville, MN 55113-6907 | 2015-10-01 |
| 1164765822 | Robben Andrew Schat | Radiology | 420 Delaware St Se - Mmc 292, Minneapolis, MN 55455-0341 | 2013-04-01 |
| 1326363102 | Gilda Boroumand | Radiology | 1901 Irving Ave S, Minneapolis, MN 55403-2824 | 2010-04-05 |
| 1477880276 | Siobhan Moira Flanagan | Radiology | Mmc 292,420 Delaware Street Se, University of Minnesota Department of Radiology, Minneapolis, MN 55455 | 2009-11-16 |
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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.