Active NPI
David A Pennington, MD
- Obstetrics & Gynecology Physician
- Farmville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5665828-1205
- Practice address
- 800 Oak St
Farmville, VA 23901-1199 - Phone
- (434) 315-2401
- NPI assigned
- Nov 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 42731 | AZ | |
| Obstetrics & Gynecology Physician | 207V00000X | 5665828-1205 | UT | Primary |
Addresses
Primary practice location
800 Oak St
Farmville, VA 23901-1199
Mailing address
2020 Silver Creek Rd Ste 206
Bullhead City, AZ 86442-8476
Phone (928) 704-4327
Other practice location 1
3507 N University Ave Ste 175
Provo, UT 84604-6692
Phone (801) 719-8395
Other practice location 2
5750 E Highway 90 Ste 300
Sierra Vista, AZ 85635-9111
Phone (520) 263-3620
Other practice location 3
2020 Silver Creek Rd Ste 206
Bullhead City, AZ 86442-8476
Phone (928) 704-4327
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | david.pennington.1@1575.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42731 | AZ | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rejuvinix, LLC | Current | Accepting new patients | |
| Centra Medical Group, LLC | Family Medicine | Current | Accepting new patients |
Locations
800 Oak St
Farmville, VA 23901
Phone (434) 315-2530
1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101
1937 Thomson Dr
Lynchburg, VA 24501
Phone (434) 200-6965
4701 Columbus St
Ste 100
Virginia Beach, VA 23462
Phone (414) 736-1317
15255 Watertown Plank Rd
Ste 200
Elm Grove, WI 53122
Phone (414) 736-1317
Interoperability endpoints
- david.pennington.1@1575.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Lynchburg, VA
- NPI 1649228966
-
- Physical Medicine & Rehabilitation Physician
- Virginia Beach, VA
- NPI 1710409529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1609941582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 SILVER CREEK RD STE 206",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864428476",
"telephone_number": "928-704-4327",
"fax_number": "928-444-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 OAK ST",
"city": "FARMVILLE",
"state": "VA",
"postal_code": "239011199",
"telephone_number": "434-315-2401"
}
],
"practiceLocations": [
{
"address_1": "3507 N University Ave Ste 175",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846046692",
"country_code": "US",
"telephone_number": "801-719-8395",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5750 E Highway 90 Ste 300",
"address_purpose": "LOCATION",
"city": "Sierra Vista",
"state": "AZ",
"postal_code": "856359111",
"country_code": "US",
"telephone_number": "520-263-3620",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2020 Silver Creek Rd Ste 206",
"address_purpose": "LOCATION",
"city": "Bullhead City",
"state": "AZ",
"postal_code": "864428476",
"country_code": "US",
"telephone_number": "928-704-4327",
"fax_number": "928-444-1325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENNINGTON",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-23",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "AZ",
"license": "42731",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "UT",
"license": "5665828-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "david.pennington.1@1575.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "2020 Silver Creek Rd Ste 206",
"city": "Bullhead City",
"state": "AZ",
"country_code": "US",
"postal_code": "864428476",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Farmville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.