Active NPI
M Steven Pennington, MD
- Family Medicine Physician
- Ozark, MO
National Provider Identifier
1689617755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R6B02
- Practice address
- 2551 E McCracken Rd
Ozark, MO 65721-7428 - Phone
- (000) 000-0000
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R6B02 | MO | Primary |
Addresses
Primary practice location
2551 E McCracken Rd
Ozark, MO 65721-7428
Mailing address
2551 E McCracken Rd
Ozark, MO 65721-7428
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106988 | Other | BLUE CROSS/BLUE SHIELD | |
| 201794450 | Medicaid | MO |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ferrell Duncan Clinic, Inc | Past | Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Springfield, MO
- NPI 1326099383
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1689617755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2551 E MCCRACKEN RD",
"city": "OZARK",
"state": "MO",
"postal_code": "657217428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2551 E MCCRACKEN RD",
"city": "OZARK",
"state": "MO",
"postal_code": "657217428",
"telephone_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNINGTON",
"first_name": "M",
"middle_name": "STEVEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R6B02",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "106988",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201794450",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ozark, MO
- Ozark Valley Medical Clinic, LLC
- Ozarks Family Health LLC (Ozarks Family Health)
- Ozarks MD LLC
- Pamela J Wharton, LLC (Strength Beyond Self Counseling Services)
- James Anthony Pennell, PT
- Ashley Percival
- Kara Nicole Peterson, M.S., CCC-SLP/L
- Michelle Marie Phillips, MS, LPC
- Alexandra Caitlin Philpott, NP
- Mary F Plate, RDH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.