Christopher F. Penka, M.D., P.a., Inc.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

811667271205 Issued in UT

Legal business name

CHRISTOPHER F. PENKA, M.D., P.A., INC.

Practice address

4403 Harrison Blvd Ste 1815
Ogden, UT 84403-3271

Phone

(801) 387-6520

Fax

(801) 387-6557

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Christopher F. Penka, M.D.

Title

Physician Surgeon

Phone

(801) 387-6520

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750586624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD STE 1815",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033271",
            "telephone_number": "801-387-6520",
            "fax_number": "801-387-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD STE 1815",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033271",
            "telephone_number": "801-387-6520",
            "fax_number": "801-387-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER F. PENKA, M.D., P.A., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENKA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PHYSICIAN SURGEON",
        "authorized_official_telephone_number": "801-387-6520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "UT",
            "license": "811667271205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "556809063000",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlee Christensen
• Tyler Christensen, M.S., CCC-SLP
• Tyler L Christensen, MD
• Christina Marie Francis, PLLC
• Lucus Craig Webb Christoffersen, NP
• Colbie Robin Christopher, APRN
• Breann Christopherson, RN
• George John Christophiades, PHARMD
• Jeremiah V Church, O.D.
• Mauri Church

• Neurological Surgery Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Neurological Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.