Jeffrey Alan Penman, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

01036681A Issued in IN

Practice address

3920 St Francis Way
Suite 100
Lafayette, IN 47905-4917

Phone

(765) 428-5888

Fax

(765) 428-5896

NPI assigned

Jul 9, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Womans Healthcare Associates PC

  dba Lafayette Obstetrics and Gynecology

  • Obstetrics & Gynecology Physician
  • Lafayette, IN
  • NPI 1265455588
  Medicare reassignment NPD
• Womans Healthcare Associates, P.C.

  dba Womens Health Services Crawfordsville

  • Obstetrics & Gynecology Physician
  • Crawfordsville, IN
  • NPI 1235594060
  NPD

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1518990910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 ST FRANCIS WAY",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054917",
            "telephone_number": "765-428-5888",
            "fax_number": "765-428-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 ST FRANCIS WAY",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054917",
            "telephone_number": "765-428-5888",
            "fax_number": "765-428-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENMAN",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01036681A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10007090940",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dixie J Pederson, PH.D.
• Pediatric Associates of Lafayette, P.C.
• Pediatric Physical Therapy Services Inc
• Pediatric Physical Therapy Services, Inc.
• Kayla Lynne Pellam, BS
• Karen Pennington, NP
• Rachel Erin Pennington, CST/CSFA
• Stefanie Peregrin, OCCUPATIONAL THERAPI
• Madison Peretin, RBT
• Corynn Perkins

• Obstetrics & Gynecology Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.