Organization Active NPI

Erin H Pennison, MD, Apmc

  • Obstetrics & Gynecology Physician
  • Houma, LA
National Provider Identifier
1902039134
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13499R Issued in LA
Legal business name
ERIN H PENNISON, MD, APMC
Practice address
8120 Main St
Suite 202
Houma, LA 70360-3403
Phone
(985) 223-8994
Fax
(985) 655-8994
NPI assigned
Sep 4, 2009
Last updated
Oct 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Erin H Pennison, MDNPI 1023078953
Title
President
Phone
(985) 223-8994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 13499R LA Primary

Addresses

Primary practice location

8120 Main St
Suite 202
Houma, LA 70360-3403

Mailing address

PO Box 349
Houma, LA 70361-0349
Phone (985) 223-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091231000104 LA Part B Supplier - Clinic/Group Practice 1153462908 Receives reassigned benefits from 2 practitioners
Practice locations: Houma, LA; Thibodaux, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1902039134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 349",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703610349",
            "telephone_number": "985-223-8994",
            "fax_number": "985-655-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 MAIN ST",
            "address_2": "SUITE 202",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603403",
            "telephone_number": "985-223-8994",
            "fax_number": "985-655-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN H PENNISON, MD, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "PENNISON",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-223-8994",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "13499R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.