Jay Burton Pennington, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

H2678 Issued in TX

Practice address

2000 Scenic Dr
Georgetown, TX 78626-7726

Phone

(512) 863-2117

Fax

(512) 869-0946

NPI assigned

Jul 28, 2006

Last updated

Dec 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Georgetown Anesthesiology PLLC

  • Anesthesiology Physician
  • Georgetown, TX
  • NPI 1790799724
  NPD (past) Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1184638967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1242",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786271242",
            "telephone_number": "512-863-2117",
            "fax_number": "512-869-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SCENIC DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267726",
            "telephone_number": "512-863-2117",
            "fax_number": "512-869-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "JAY",
        "middle_name": "BURTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "H2678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacobo Pena, M.D.
• Jessica Michelle Pena, PTA
• Samantha Pena, LMFT
• Xin Peng
• Marla B Pennell, AUD CCC-A
• Monique Suzanne Pepin, MSW, LCSW
• Peregrine Ventures, LLC
• Chrishanthi Perera, M.D.
• Danny Perkins
• Robyn Perry, RDH

• Anesthesiology Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.