Chester Howard Penn, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO 3421 Issued in FL

Practice address

542067 US Highway 1
Callahan, FL 32011-8110

Phone

(904) 879-2552

Fax

(904) 879-6360

NPI assigned

Feb 8, 2010

Last updated

Apr 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Friedman and Greenhut DPM PAGroup PAC ID 4688721426, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concierge Home Care Home health agency, Orange Park, FL, CCN 109771
• Ascension St Vincent's Clay County Hospital, Middleburg, FL, CCN 100321
• Ascension St Vincent's Southside Hospital, Jacksonville, FL, CCN 100307
• Ascension St Vincent's Riverside Hospital, Jacksonville, FL, CCN 100040

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Friedman & Greenhut DPM PA

  dba Callahan Foot & Ankle Clinic

  • Podiatrist
  • Callahan, FL
  • NPI 1609949957
  Medicare reassignment Care Compare group NPD
• Friedman & Greenhut, DPM, PA

  dba Callahan Foot & Ankle Clinic

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
  • NPI 1386861870
  NPD (past)

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

• St Lukes - St Vincents Healthcare

  dba Ascension St. Vincent's Southside

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1396926747
  Care Compare affiliation
• St Vincents Medical Center Inc

  dba Ascension St. Vincent's Riverside

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1134117575
  Care Compare affiliation
• St. Vincent's Medical Center-Clay County, Inc.

  dba Ascension St. Vincent's Clay County

  • General Acute Care Hospital
  • Middleburg, FL
  • NPI 1457690471
  Care Compare affiliation
• St. Vincent's Medical Center, Inc.

  dba Ascension St Vincent's Riverside

  • Clinical Medical Laboratory
  • Jacksonville, FL
  • NPI 1669556072

  Hospital

  Care Compare affiliation
• The Roses' Home Healthcare, LLC

  dba Concierge Home Care

  • Home Health Agency
  • Orange Park, FL
  • NPI 1629262449
  Care Compare affiliation

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1699007237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1578",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320111578",
            "telephone_number": "904-879-2552",
            "fax_number": "904-879-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542067 US HIGHWAY 1",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320118110",
            "telephone_number": "904-879-2552",
            "fax_number": "904-879-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "CHESTER",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-08",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 3421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nassau Physical Therapy Inc
• Bo K Nguyen, PHARMD
• Don Anh Nguyen
• North Florida Senior Living LLC
• Nikata Arvind Patel, FNP
• Lilliot Phillips, AG-ACNP
• Joanna Picard, DPT, PT
• Barbara Ann Pierce, LCMHC
• Jordan Powell, PTA
• Casey J Price, BS

• Podiatrist in Callahan, FL
• Providers in Callahan, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.