Jeffrey Stuart Penner, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME30380 Issued in FL

Practice address

130 John F Kennedy Dr Ste 201
Atlantis, FL 33462-1142

Phone

(561) 967-4400

Fax

(561) 967-5277

NPI assigned

Sep 21, 2006

Last updated

Jan 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jeffrey.penner@hca4.eclinicaldirectplus.com
• Direct secure messaging: jeffreypenner@atlantisor.allscriptsdirect.net

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.

• Atlantis Orthopaedics, P.a.

  • Specialist
  • Atlantis, FL
  • NPI 1902862808
  Authorized official Same address or phone
• DRS Penner Norris and Routman PA

  • Orthopaedic Surgery Physician
  • Atlantis, FL
  • NPI 1073767968
  NPD (past) Authorized official
• DRS Penner, Norris, Routman, PA

  dba Atlantis Orthopaedics

  • Orthopaedic Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1205147147
  NPD (past)
• Peter R Aldana MD PA

  • Specialist
  • Fort Pierce, FL
  • NPI 1881764058
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1790883601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VILLAGE SQUARE XING",
            "address_2": "STE 170",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104547",
            "telephone_number": "561-967-4400",
            "fax_number": "561-967-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 JOHN F KENNEDY DR STE 201",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621142",
            "telephone_number": "561-967-4400",
            "fax_number": "561-967-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNER",
        "first_name": "JEFFREY",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0030380",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME30380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50805",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037798800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "206593",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JEFFREY.PENNER@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "130 John F Kennedy Dr Ste 201",
            "city": "Atlantis",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334621142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Simone Kristen Pattani, DNP, APRN, AGACNP-BC
• Benjamin Jacob Pazin, M.D.
• Pediatric Services, Inc. (CSI, Special Care)
• Pediatrix Medical Group of Florida Inc
• Luis Javier Pena-Hernandez, M.D.
• Sahyli Perez Parra, MD
• Giselle Perez, MD
• Kelly Sue Perez, RPA-C
• Maria G. Perez
• Ruben Perez, M.D.

• Orthopaedic Surgery Physician in Atlantis, FL
• Providers in Atlantis, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.