William P Pennoyer, M.D.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

038713 Issued in CT

Practice address

6 Northwestern Dr
Suite # 305
Bloomfield, CT 06002-3463

Phone

(860) 242-8591

Fax

(860) 242-2511

NPI assigned

Apr 5, 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

Other identifiers 1

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

Locations

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.

• Colon and Rectal Surgeons of Greater Hartford, LLC

  • Colon & Rectal Surgery Physician
  • Bloomfield, CT
  • NPI 1871556225
  NPD

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1932161809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NORTHWESTERN DR",
            "address_2": "SUITE # 305",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023463",
            "telephone_number": "860-242-8591",
            "fax_number": "860-242-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 NORTHWESTERN DR",
            "address_2": "SUITE # 305",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023463",
            "telephone_number": "860-242-8591",
            "fax_number": "860-242-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNOYER",
        "first_name": "WILLIAM",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CT",
            "license": "038713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001387134",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy E Patel, M.D.
• Vipul Patel
• Marcia Elaine Peck
• Pediatric Partners, LLC
• Jennifer W Pennoyer, M.D.
• Perinatal Support & Beyond LLC
• Edith Perlwitz
• Chanae Perry Tanksley, LMSW
• Sydney E Perry, PHARMD
• Peter C. Donshik, M.D., P.C.

• Colon & Rectal Surgery Physician in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Colon & Rectal Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.