Earl Penn III

Primary specialty

DriverTaxonomy code 172A00000X

License

RY069575 Issued in OH

Practice address

6121 Allanwood Dr
Parma, OH 44129-4541

Phone

(440) 588-6588

NPI assigned

Mar 20, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Penn 3 Logistics LLC

  dba Penn's Medical Transport

  • Non-emergency Medical Transport (VAN)
  • Parma, OH
  • NPI 1447976485
  NPD Authorized official

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1780386169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 LEE RD UNIT 389",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441182572",
            "telephone_number": "440-588-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 ALLANWOOD DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441294541",
            "telephone_number": "440-588-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "EARL",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "OH",
            "license": "RY069575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Peacock, OTR/L
• Pearl III Leasing Co, LLC (Pine Grove Habilitation Center)
• Pearl LL Leasing Co, LLC (Pine Grove Habilitation Center)
• Florin Penciu, MD
• Penn 3 Logistics LLC (Penn's Medical Transport)
• Christina Marie Pennington, LISW
• Matthew J Perkins, MS, PT
• Aaron B Pesch, OTR
• Peter Z Anders MD
• Darlene Peters

• Driver in Parma, OH
• Providers in Parma, OH by specialty
• Driver in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.