Gary Penner is a Family Medicine in Fairfax, Virginia. Gary Penner practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gary Penner is 1689740136. The last update date is 2022-03-08.
Gary Penner's current location address is 11910 Parkside Dr, Fairfax, Virginia. You can contact this provider via phone number 2028162832. The mailing address for Gary Penner is 11910 Parkside Dr, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Penner |
|---|---|
| Address | 11910 Parkside Dr, Fairfax, Virginia |
| Phone Number | 2028162832 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1689740136 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2022-03-08 |
Provider Mailing Address Detail
| Address | 11910 Parkside Dr |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220332648 |
| Phone Number | 2028162832 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 101027481 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique identification code assigned to Gary Penner by the Centers for Medicare & Medicaid Services?
The Gary Penner has been issued the NPI (National Provider Identifier) 1689740136. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gary Penner?
The Gary Penner is situated at 11910 Parkside Dr, in the city of Fairfax, state of VA, with the zip code 220332648.
What is Gary Penner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gary Penner is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date was the 1689740136 assigned to Gary Penner?
The Gary Penner was issued its 1689740136 on 2006-11-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Gary Penner most recently updated?
The details pertaining to the Gary Penner, including its address, specialty, and other relevant information, were last refreshed on 2022-03-08.