Roger Jay Pentzien, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

29023 Issued in KY

Practice address

800 Zorn Ave
Louisville, KY 40206-1433

Phone

(502) 287-5914

NPI assigned

Jun 10, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Alegent Health Bergan Mercy Health System

  • Psychiatry Physician
  • Omaha, NE
  • NPI 1184897647
  NPD (past)
• Alegent Health Bergan Mercy Health System

  • Psychiatric Hospital Unit
  • Omaha, NE
  • NPI 1396969499
  NPD (past)
• HHC Indiana Inc.

  • Psychiatric Hospital
  • Plymouth, IN
  • NPI 1801822440
  NPD (past)
• Indiana Health Group Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carmel, IN
  • NPI 1356396295

  Psychiatry

  NPD (past)
• South Bend Psychiatry LLC

  • Psychiatry Physician
  • Plymouth, IN
  • NPI 1700112224
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1881635506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9008 CROWNE SPRINGS CIR",
            "address_2": "UNIT 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402418134",
            "telephone_number": "502-327-7600",
            "fax_number": "502-327-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ZORN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061433",
            "telephone_number": "502-287-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTZIEN",
        "first_name": "ROGER",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "29023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Penrod, APRN
• Claire Pent, LPCA
• John R Penta, M.D.
• Jennifer Hawkins Pentecost, APRN, FNP-C, CLC
• Karina Michelle Pentecost, ARNP
• Kaitlin Lee Peperato Dye, RN
• Lee Stanley Peplinski, OD
• Dennis S Peppas, MD
• Iyanna Peppers, MD
• Samuel Joseph Pera, M.D.

• Psychiatry Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.