Robert C. Pennington, MD, PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

25068 Issued in WV

Legal business name

ROBERT C. PENNINGTON, MD, PC

Practice address

311 Courthouse Road
Princeton, WV 24740-2421

Phone

(304) 487-2297

Fax

(304) 487-4802

NPI assigned

Jun 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Carl Pennington, M.D.

Title

President

Phone

(304) 425-2297

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1013113083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 COURTHOUSE ROAD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402421",
            "telephone_number": "304-487-2297",
            "fax_number": "304-487-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 COURTHOUSE ROAD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402421",
            "telephone_number": "304-487-2297",
            "fax_number": "304-487-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C. PENNINGTON, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-425-2297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "WV",
            "license": "25068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFIER",
            "identifier": "562129755",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "86314",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810024625",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-1070V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Angela Faith Roberson
• Robert W Edwards III MD Inc
• Brenda Carol Roberts
• Courtney Anne Roberts, LMT
• Katelynn Roberts
• Katie Roberts

• Orthopaedic Surgery Physician in Princeton, WV
• Providers in Princeton, WV by specialty
• Orthopaedic Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.