Glenville Medical Professional Corp

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

GLENVILLE MEDICAL PROFESSIONAL CORP

Practice address

3599 Boulevard Ste B
Colonial Heights, VA 23834-1300

Phone

(310) 551-2750

Fax

(888) 972-8038

NPI assigned

Sep 9, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Penn, MDNPI 1679585731

Title

Owner/Physician

Phone

(310) 551-2750

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Penn, M.D.

  • Specialist
  • Beverly Hills, CA
  • NPI 1679585731
  NPD Authorized official

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1972272268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 BOULEVARD STE B",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341300",
            "telephone_number": "310-551-2750",
            "fax_number": "888-972-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 BOULEVARD STE B",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341300",
            "telephone_number": "310-551-2750",
            "fax_number": "888-972-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENVILLE MEDICAL PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "PENN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "310-551-2750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dane Joseph Gies, O.D.
• Gauravpal Singh Gill, MD
• Sartaj Singh Gill, M.B.B.S.
• Give a Hand Transportation
• Joann Cobb Glazier, CERTIFIED MASTO. FIT
• Deniquah Imani Glover
• Jay Stephen Goldberg, MD
• Rashmi Goswami, D.D.S
• Grace Mental Healthcare
• Raysean Grandison

• Cardiovascular Disease Physician in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Cardiovascular Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.