Individual provider Active NPI

Erin Haley Pennison, M.D.

  • Obstetrics & Gynecology Physician
  • Houma, LA
National Provider Identifier
1023078953
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13499R Issued in LA
Practice address
8120 Main St
Suite 202
Houma, LA 70360-3403
Phone
(985) 223-8994
Fax
(985) 655-8994
NPI assigned
Mar 24, 2006
Last updated
Mar 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 13499R LA Primary

Addresses

Primary practice location

8120 Main St
Suite 202
Houma, LA 70360-3403

Mailing address

8120 Main St
Suite 202
Houma, LA 70360-3403
Phone (985) 223-8994

Other identifiers 1

IdentifierTypeStateIssuer
1568635MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051116000022 LA Practitioner - Obstetrics/Gynecology 9931128295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8120 Main St
Suite 202
Houma, LA 70360-3403
Phone (985) 223-8994

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13499RLAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erin H Pennison, MD, Apmc Obstetrics & Gynecology CurrentSince Oct 5, 2009 Accepting new patients
Premier OBGYN Specialists, LLC Obstetrics & Gynecology Past Accepting new patients
Terrebonne Parish Hospital Service District #1 Past Accepting new patients
Women's OB-GYN Health & Wellness Center, Apmc Obstetrics & Gynecology Past Accepting new patients

Locations

1022 Belanger St
Houma, LA 70360
Phone (985) 868-1561

8120 Main St
Ste 202
Houma, LA 70360
Phone (985) 223-8994

2100 Audubon Ave
Thibodaux, LA 70301
Phone (985) 446-2174

Interoperability endpoints

  • Direct secure messaging: epennison407516@direct.ochsner.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1023078953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 MAIN ST",
            "address_2": "SUITE 202",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603403",
            "telephone_number": "985-223-8994",
            "fax_number": "985-655-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 MAIN ST",
            "address_2": "SUITE 202",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603403",
            "telephone_number": "985-223-8994",
            "fax_number": "985-655-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNISON",
        "first_name": "ERIN",
        "middle_name": "HALEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "13499R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568635",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.