Paul C Pennock, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

C10000416 Issued in DE

Practice address

701 N Clayton St
Suite 407
Wilmington, DE 19805-3165

Phone

(302) 421-9721

Fax

(302) 421-9728

NPI assigned

Feb 28, 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Cardiology Consultants PA

  • Cardiovascular Disease Physician
  • Newark, DE
  • NPI 1841234564
  NPD (past)
• St Francis Hospital Inc

  dba Advanced Surgical Specialists

  • Surgery Physician
  • Wilmington, DE
  • NPI 1811210222
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730155748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 CHAPMAN RD",
            "address_2": "SUITE 150",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025436",
            "telephone_number": "302-366-1929",
            "fax_number": "302-366-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N CLAYTON ST",
            "address_2": "SUITE 407",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053165",
            "telephone_number": "302-421-9721",
            "fax_number": "302-421-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNOCK",
        "first_name": "PAUL",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C10000416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000013050501",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penna Orthodontics
• Robert A Penna, DMD
• Joseph C Pennington III, M.D.
• Mandy Pennington, MSN, RN
• Megan Pennington
• Amy Penrod Weir, LCSW
• Joseph Peoples, PHARMD
• Teresa Diane Pepe, NP-C
• David Peres
• Javier Enrique Perez Rosario

• Cardiovascular Disease Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Cardiovascular Disease Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.