Active NPI
Barbara Ann Penn, MD
- Internal Medicine Physician
- Wellfleet, MA
National Provider Identifier
1467562579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 46922
- Practice address
- 3130 State Hwy. Rte 6
Wellfleet, MA 02667 - Phone
- (508) 349-3131
- Fax
- (508) 349-1311
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 46922 | MA | Primary |
Addresses
Primary practice location
3130 State Hwy. Rte 6
Wellfleet, MA 02667
Mailing address
PO Box 1413
Wellfleet, MA 02667
Phone (508) 240-0208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0154806 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46922 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts General Physicians Organization Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
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- NPI 1801874573
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342137600000",
"number": "1467562579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1413",
"city": "WELLFLEET",
"state": "MA",
"postal_code": "02667",
"telephone_number": "508-240-0208",
"fax_number": "508-240-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 STATE HWY. RTE 6",
"city": "WELLFLEET",
"state": "MA",
"postal_code": "02667",
"telephone_number": "508-349-3131",
"fax_number": "508-349-1311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENN",
"first_name": "BARBARA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2012-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "46922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0154806",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wellfleet, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.