Marguerite Anne Pennoyer, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

12311 Issued in ME

Practice address

14 High Point Rd
Scarborough, ME 04074-9030

Phone

(207) 510-0031

NPI assigned

Sep 2, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1184618316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HIGH POINT RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749030",
            "telephone_number": "207-510-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HIGH POINT RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749030",
            "telephone_number": "207-510-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNOYER",
        "first_name": "MARGUERITE",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "ME",
            "license": "12311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "E004030",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M5650",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P0154",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Pelchat, DPT
• Diane Naomi Pelletier, LCSW
• Sarah Drosdik Pelletier, NP
• Joseph Guy Penna, DMD
• Nichol Irene Penna, D.M.D.
• Saramarie Reilly Penrod, SLP
• Amanda Maria Perez, AGACNP-BC
• Kaylene Peric, PHARMD
• Joseph W Perocier, PA-C
• Ariana Perry, PHARMD.

• Allergy & Immunology Physician in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Allergy & Immunology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.