Paul Pennington, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00014274 Issued in WA

Practice address

125 SE 5TH Ave
White Salmon, WA 98672-0117

Phone

(509) 281-3012

NPI assigned

Jul 31, 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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: ppennington57894@direct.valleymed.org

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1528074622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SE 5TH AVE",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986720117",
            "telephone_number": "509-281-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SE 5TH AVE",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986720117",
            "telephone_number": "509-281-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00014274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8160228",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Oschwald, PAC
• Miranda Pace, CCC-SLP
• Jeniffer Lee Panko, LMP
• Kristyn Pardo, RN BSN
• Kaitlyn Parker-Lee
• Terry J Phillips, CRNA
• Margaret Mary Pillon, R.N.
• Rita Pinchot, CDPT, CPP
• Jorjan M Plimmer, RN
• Tricia Ann Poinsette, OTR/L

• Family Medicine Physician in White Salmon, WA
• Providers in White Salmon, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.