Dwynica S Pendleton

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3094 W Market St Ste 343
Fairlawn, OH 44333

Phone

(234) 334-5589

NPI assigned

Jun 15, 2018

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1205320108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33465 W SHARONDALE DR",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393044",
            "telephone_number": "330-926-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3094 W MARKET ST STE 343",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "44333",
            "telephone_number": "234-334-5589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1176 Cordova Ave",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "44320",
            "country_code": "US",
            "telephone_number": "330-926-8112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "DWYNICA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW841100",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John C Pedersen, M.D.
• Jennifer Louise Pedrazas, PA-C
• Kelli Lambert Peiffer, D.O.
• Anthony Michael Pelini, PA-C
• Brandon Pendleton
• Joshua Penman
• Katherine Pennington
• Paul Pennza, M.D.
• Megan P Perkins, M.A.,CCC-SLP
• Jennifer L Petersen, PA-C

• Case Manager/Care Coordinator in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.