Larry Penick, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G6752 Issued in TX

Practice address

703 Morris St.
East Bernard, TX 77435

Phone

(979) 335-4433

Fax

(979) 335-4837

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family PracticeAlso: General Practice

Education

Loyola University of Chicago, Stritch School of Medicine, 1983

Medicare assignment

May accept Medicare assignment

Group practices

Cahrmc 32 clinicians

Ess of Port Lavaca LLC 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health Home health agency, Bay City, TX, CCN 679345
• Accentcare Home Health of Texas Home health agency, Wharton, TX, CCN 679233
• Rice Medical Center Hospital, Eagle Lake, TX, CCN 451312
• Memorial Medical Center Hospital, Port Lavaca, TX, CCN 451356
• Oakbend Medical Center Hospital, Richmond, TX, CCN 450330
• Rice Medical Center Nursing home, CCN 45Z312

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Cahrmc

  • Critical Access Hospital
  • Eagle Lake, TX
  • NPI 1205164928

  TX

  Medicare reassignment Care Compare group NPD
• Ess of Port Lavaca LLC

  • Emergency Medicine Physician
  • Port Lavaca, TX
  • NPI 1922546936

  Emergency Medicine, TX

  Medicare reassignment Care Compare group NPD
• Dewitt Medical District

  • Emergency Medicine Physician
  • Cuero, TX
  • NPI 1366532608

  Emergency Medicine, TX

  Medicare reassignment NPD
• Hospital Care Consultants of Corpus Christi

  • Emergency Medicine Physician
  • Corpus Christi, TX
  • NPI 1275088452

  Emergency Medicine, TX

  Medicare reassignment NPD
• Jackson County Hospital District

  • Emergency Medicine Physician
  • Edna, TX
  • NPI 1215971478

  Emergency Medicine, TX

  Medicare reassignment NPD
• Cahrmc

  • Rural Health Clinic/Center
  • Eagle Lake, TX
  • NPI 1114255833
  Care Compare group
• Cahrmc

  • Rural Health Clinic/Center
  • East Bernard, TX
  • NPI 1972830008
  Care Compare group
• Cahrmc

  • Geriatric Psychiatry Physician
  • Eagle Lake, TX
  • NPI 1326560442
  NPD
• Dewitt Medical District

  • Family Medicine Physician
  • Cuero, TX
  • NPI 1043645955

  Family Medicine

  NPD
• Dewitt Medical District

  • Skilled Nursing Facility
  • Katy, TX
  • NPI 1053511980
  NPD
• Jackson County Hospital District

  • Rural Health Clinic/Center
  • Ganado, TX
  • NPI 1679445654
  NPD
• Bellville Hospital District

  • General Acute Care Hospital
  • Bellville, TX
  • NPI 1457358103

  Emergency Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cahrmc

  • Critical Access Hospital
  • Eagle Lake, TX
  • NPI 1205164928

  Hospital

  Care Compare affiliation
• Cahrmc

  • Geriatric Psychiatry Physician
  • Eagle Lake, TX
  • NPI 1326560442

  Hospital

  Care Compare affiliation
• E Medical Group, Inc

  • Home Health Agency
  • Bay City, TX
  • NPI 1982609160
  Care Compare affiliation
• Memorial Medical Center

  • Critical Access Hospital
  • Port Lavaca, TX
  • NPI 1689630865

  Hospital

  Care Compare affiliation
• Oakbend Medical Center

  • General Acute Care Hospital
  • Richmond, TX
  • NPI 1700883196

  Hospital

  Care Compare affiliation
• Texas Home Health Skilled Services, L.P.

  • Home Health Agency
  • Desoto, TX
  • NPI 1801880554
  Care Compare affiliation
• Texas Home Health Skilled Services, LP

  • Home Health Agency
  • Wharton, TX
  • NPI 1982827929
  Care Compare affiliation

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1528037579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MORRIS",
            "city": "EAST BERNARD",
            "state": "TX",
            "postal_code": "77435",
            "telephone_number": "979-335-4433",
            "fax_number": "979-335-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MORRIS ST.",
            "city": "EAST BERNARD",
            "state": "TX",
            "postal_code": "77435",
            "telephone_number": "979-335-4433",
            "fax_number": "979-335-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENICK",
        "first_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "G6752",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G6752",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "G6752",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Holmes Johnston, L.M.T.
• Eric S Kucera, DC
• Susanne Marie Minks, COTA
• Rhonda G. Morrow, PNP
• Amy N Owens Horelica, APRN
• Geraldine Raphael
• Renascent Ventures LLC
• Rice Medical Associates East Bernard
• RVLK Quality Care LLC
• South Texas Medical Clinics, P.a.

• All providers in East Bernard, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.