Individual provider Active NPI

Joseph C Pennington III, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Wilmington, DE
National Provider Identifier
1932102647
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
C10004298 Issued in DE
Practice address
701 N Clayton St Ste 533a
Wilmington, DE 19805-3165
Phone
(302) 421-4828
Fax
(302) 421-6971
NPI assigned
May 27, 2005
Last updated
May 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X C10004298 DE Primary

Addresses

Primary practice location

701 N Clayton St Ste 533a
Wilmington, DE 19805-3165

Mailing address

PO Box 824804
Philadelphia, PA 19182-4804
Phone (302) 421-4828

Other identifiers 1

IdentifierTypeStateIssuer
0000788601MedicaidDE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address josephpennington@sffp.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051108000779 DE Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 5698755676 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C10004298DEMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc CurrentSince Nov 5, 2013 Accepting new patients
St. Francis Hospital Inc. Current Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
St. Francis Hospital Inc. CurrentSince Aug 20, 2019 Accepting new patients
Christiana Care Health Services Inc CurrentSince Apr 1, 2000 Accepting new patients
Christiana Care Health Services, Inc CurrentSince Apr 1, 2000 Accepting new patients
Christiana Care Health Initiatives Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Christiana Medical Group, PA Past Accepting new patients
Delaware Heart Group PA PastSince Jun 1, 2000 Accepting new patients

Locations

2600 Glasgow Ave
Ste 104
Newark, DE 19702
Phone (302) 770-0030

4735 Ogletown Stanton Rd
Ste 2123
Newark, DE 19713
Phone (302) 225-3888

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

701 N Clayton St
Fl 2
Wilmington, DE 19805
Phone (302) 575-8040

701 N Clayton St
Ste 200
Wilmington, DE 19805
Phone (302) 575-8040

701 N Clayton St
Ste 533A
Wilmington, DE 19805
Phone (302) 421-4828

Interoperability endpoints

  • Direct secure messaging: jpennington@a8f86bf6.micromddirect.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1932102647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824804",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191824804",
            "telephone_number": "302-421-4828",
            "fax_number": "302-421-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N CLAYTON ST STE 533A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053165",
            "telephone_number": "302-421-4828",
            "fax_number": "302-421-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "DE",
            "license": "C10004298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000788601",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "josephpennington@sffp.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "St. Francis Hospital direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "701 N Clayton St Ste 533A",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198053165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.