Active NPI
Stephen Patrick Penor, M.D.
- Diagnostic Radiology Physician
- Hot Springs, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- E-3410
- Practice address
- 3633 Central Avenue
Suite D
Hot Springs, AR 71913-6475 - Phone
- (501) 623-6693
- Fax
- (501) 623-9403
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | E3410 | AR | |
| Nuclear Radiology Physician | 2085N0904X | E-3410 | AR | |
| Diagnostic Radiology Physician | 2085R0202X | V7274 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | E-3410 | AR | Primary |
Addresses
Primary practice location
3633 Central Avenue
Suite D
Hot Springs, AR 71913-6475
Mailing address
3633 Central Avenue
Suite D
Hot Springs, AR 71913-6475
Phone (501) 623-6693
Other practice location 1
617 Stephenson Ave Ste 101
Savannah, GA 31405-5893
Phone (912) 355-7523
Other practice location 2
18354 Interstate 45 S Ste 120
Shenandoah, TX 77384-4993
Phone (936) 235-7092
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E3410 | Other | AR | STATE LICENSE |
| 157515001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, GA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Arkansas College of Medicine, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Sevier County Medical Center
Practice addresses (Care Compare)
18354 Interstate 45 S
Suite 120
Shenandoah, TX 77384-4993
Phone (936) 235-7092
2001 S Main St
Hope, AR 71801-8124
Phone (870) 722-3800
3633 Central Ave
Suite D
Hot Springs, AR 71913-6404
3633 Central Ave
Suite D
Hot Springs, AR 71913-6475
Phone (501) 623-6693
617 Stephenson Ave
Suite 101
Savannah, GA 31405-5893
Phone (912) 355-7523
960 Hwy 71 N
De Queen, AR 71832-9415
Phone 87064264201601
Hospital & facility affiliations
- National Park Medical Center
- Howard Memorial Hospital
- Little River Memorial Hospital
- Southwest Regional Medical Center LLC
- Sevier County Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.56 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 65.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-3410 | AR | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hot Springs Radiology Services, LTD | Specialist | Current | Accepting new patients |
| Btdi JV LLP | Current | Accepting new patients | |
| Southwest Arkansas Regional Medical Center, LLC | Current | Accepting new patients | |
| Sevier County Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Southwest Arkansas Regional Medical Center, LLC | Current | Accepting new patients | |
| American Oncology Partners PA | Diagnostic Radiology | Current | Accepting new patients |
| Sevier County Medical Center | Current | Accepting new patients | |
| Ar Bone Health LLC | Current | Accepting new patients | |
| Sevier County Medical Center | Current | Accepting new patients | |
| Hot Springs MRI Center | Past | Accepting new patients |
Locations
960 Highway 71 N
De Queen, AR 71832
Phone (870) 642-6420
1 Mercy Ln
Ste 104
Hot Springs, AR 71913
Phone (501) 623-9100
3633 Central Ave
Ste D
Hot Springs National Park, AR 71913
Phone (501) 623-6693
1111 Glynco Pkwy
Ste 35
Brunswick, GA 31525
Phone (912) 304-7013
617 Stephenson Ave
Ste 101
Savannah, GA 31405
Phone (912) 355-7523
3201 S Austin Ave
Ste 315
Georgetown, TX 78626
Phone (512) 302-1210
18354 Interstate 45 S
Ste 120
Shenandoah, TX 77384
Phone (281) 404-3050
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Hot Springs, AR
- NPI 1003806258
-
- Critical Access Hospital
- Hope, AR
- NPI 1164234308
-
- Hematology & Oncology Physician
- Columbus, OH
- NPI 1265929723
Diagnostic Radiology, GA, TX
-
- Body Imaging Physician
- De Queen, AR
- NPI 1265114797
Diagnostic Radiology
-
- Critical Access Hospital
- De Queen, AR
- NPI 1386367506
-
- Medicare Defined Swing Bed Hospital Unit
- De Queen, AR
- NPI 1750099800
-
- Critical Access Hospital Clinic/Center
- Hope, AR
- NPI 1871446740
-
- Bone Densitometry Radiologic Technologist
- Hot Springs, AR
- NPI 1992577746
-
- Rural Health Clinic/Center
- Hope, AR
- NPI 1558194043
-
- Physiological Laboratory
- Dallas, TX
- NPI 1932547361
-
- Magnetic Resonance Imaging Radiologic Technologist
- Hot Springs, AR
- NPI 1801896410
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1841241833
-
- Critical Access Hospital
- Nashville, AR
- NPI 1851484695
-
- Critical Access Hospital
- Ashdown, AR
- NPI 1326040007
-
- Critical Access Hospital
- De Queen, AR
- NPI 1386367506
-
- Critical Access Hospital
- Hope, AR
- NPI 1164234308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1063402519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3633 CENTRAL AVENUE",
"address_2": "SUITE D",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136475",
"telephone_number": "501-623-6693",
"fax_number": "501-623-9403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3633 CENTRAL AVENUE",
"address_2": "SUITE D",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136475",
"telephone_number": "501-623-6693",
"fax_number": "501-623-9403"
}
],
"practiceLocations": [
{
"address_1": "617 Stephenson Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314055893",
"country_code": "US",
"telephone_number": "912-355-7523",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18354 Interstate 45 S Ste 120",
"address_purpose": "LOCATION",
"city": "Shenandoah",
"state": "TX",
"postal_code": "773844993",
"country_code": "US",
"telephone_number": "936-235-7092",
"fax_number": "281-805-7320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENOR",
"first_name": "STEPHEN",
"middle_name": "PATRICK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "E3410",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "AR",
"license": "E-3410",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "V7274",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AR",
"license": "E-3410",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "E3410",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "157515001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.