Robert R Pennell MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

36534 Issued in MA

Legal business name

ROBERT R PENNELL MD PC

Practice address

225 Boston Street
Suite 106
Lynn, MA 01904

Phone

(781) 593-5430

Fax

(781) 593-6149

NPI assigned

Sep 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Ralph Pennell, MDNPI 1376686857

Title

President

Phone

(781) 593-5430

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert R Pennell, M.D.

  • Orthopaedic Surgery Physician
  • East Lynn, MA
  • NPI 1376686857
  Authorized official Same address or phone

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1306031612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BOSTON STREET",
            "address_2": "SUITE 106",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01904",
            "telephone_number": "781-593-5430",
            "fax_number": "781-593-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BOSTON STREET",
            "address_2": "SUITE 106",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01904",
            "telephone_number": "781-593-5430",
            "fax_number": "781-593-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R PENNELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "PENNELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-593-5430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "36534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9722092",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert J Rizzo, MD
• RMG Adult Day Health Centers Lynn, LLC
• Derek Roach
• Heidi J Robbins-Fernandes, R.N.
• Robert E Sloane MD PC
• Robert Van Wittenberghe,MD,LLC
• Stanley Alan Roberts, DMP
• Julie Robertson
• Jeanette M Robinson, LCSW
• Nashia Robinson

• Orthopaedic Surgery Physician in Lynn, MA
• Providers in Lynn, MA by specialty
• Orthopaedic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.