Jody E. Pennycook (NPI# 1255696910, PAC ID# 8820249642) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1255696910 |
| PAC ID by PECOS | 8820249642 |
| Professional Enrollment ID | I20121102000513 |
| Full Name | Jody E. Pennycook |
| Organization Legal Name | NORTHBAY CARDIOLOGY INC. |
| Address |
4740 Hoen Ave Santa Rosa CA 95405-7824 |
| Phone Number | 7075422783 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2062453095 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4740 Hoen Ave, Santa Rosa, CA 95405-7824 | 7075422783 | NORTHBAY CARDIOLOGY INC. |
| Organization Legal Name | NORTHBAY CARDIOLOGY INC. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sanjay C Dhar | Cardiovascular Disease (cardiology) | Northbay Cardiology Inc. | 4740 Hoen Ave, Santa Rosa, CA 95405-7824 |
| Stephen W Halpern | Cardiovascular Disease (cardiology) | Northbay Cardiology Inc. | 4740 Hoen Ave, Santa Rosa, CA 95405-7824 |
| Street Address |
4740 HOEN AVE |
| City | SANTA ROSA |
| State | CA |
| Zip | 95405-7824 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sanjay C Dhar | Cardiovascular Disease (cardiology) | Northbay Cardiology Inc. | 4740 Hoen Ave, Santa Rosa, CA 95405-7824 |
| Stephen W Halpern | Cardiovascular Disease (cardiology) | Northbay Cardiology Inc. | 4740 Hoen Ave, Santa Rosa, CA 95405-7824 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Marianella | Internal Medicine | 1515 Montgomery Dr, Santa Rosa, CA 95405-4500 | |
| Jean Claude Bassila | Nephrology | 435 Doyle Park Dr, Santa Rosa, CA 95405-4515 | |
| Michael G Carlston | Family Medicine | 427 Doyle Park Dr, Santa Rosa, CA 95405-4515 | |
| Stephen Lee | Nephrology | Santa Rosa Kidney Care PC | 435 Doyle Park Dr, Santa Rosa, CA 95405-4515 |
| Eric Schmidt | Orthopedic Surgery | 525 Doyle Park Dr, Suite 101, Santa Rosa, CA 95405-4516 | |
| Marc E Thorne | Physician Assistant | Eric S Schmidt, Md, Inc | 525 Doyle Park Dr, Santa Rosa, CA 95405-4516 |
| Tomas Vasiliauskas | Cardiovascular Disease (cardiology) | St Joseph Heritage Healthcare | 500 Doyle Park Dr, Santa Rosa, CA 95405-4555 |
| Priscilla T Ngo | Nurse Practitioner | St Joseph Heritage Healthcare | 500 Doyle Park Dr, Suite 303, Santa Rosa, CA 95405-4555 |
| Jaya R Mallidi | Cardiovascular Disease (cardiology) | St Joseph Heritage Healthcare | 500 Doyle Park Dr, Suite G05, Santa Rosa, CA 95405-4555 |
| Marlon C Decastro | Internal Medicine | St Joseph Heritage Healthcare | 500 Doyle Park Dr, Suite 303, Santa Rosa, CA 95405-4555 |
| Find all physicians in zip 95405 | |||
| City | SANTA ROSA |
| Zip Code | 95405 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SANTA ROSA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jody E. Pennycook.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.