Penn Teck Diagnostics Inc

Primary specialty

Nuclear Cardiology PhysicianTaxonomy code 207UN0901X

License

014977 Issued in GA

Legal business name

PENN TECK DIAGNOSTICS INC

Practice address

820 St. Sebastian Way,
Suite 2B
Augusta, GA 30901

Phone

(706) 722-6612

Fax

(706) 722-5057

NPI assigned

Sep 28, 2006

Last updated

May 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Weems R Pennington Jr., MD

Title

President

Phone

(706) 722-6612

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1326139627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 ST. SEBASTIAN WAY,",
            "address_2": "SUITE 2B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-722-6612",
            "fax_number": "706-722-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 ST. SEBASTIAN WAY,",
            "address_2": "SUITE 2B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-722-6612",
            "fax_number": "706-722-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN TECK DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "WEEMS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-722-6612",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "GA",
            "license": "014977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPA518",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00094179C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Pendergrast Jr., MD
• Brooks Edward Pendleton, PT, DPT
• Pendley Personal Care Home Inc.
• James Walker Penland Jr., COTA/L
• Penn Heart LLC
• Jaime Penn
• Clayton William Pennington, M.D.
• Weems R Pennington Jr., MD
• Joseph Frank Pensabene, MD
• Cassandre Neotha Marseille Perard

• Nuclear Cardiology Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Nuclear Cardiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.