John R Penta in Louisville - Obstetrics & Gynecology
John R Penta - NPI 1760484604
John R Penta is a Obstetrics & Gynecology in Louisville, Kentucky. John R Penta practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for John R Penta is 1760484604. The last update date is 2020-12-07.
John R Penta's current location address is 950 Breckenridge Ln Ste 200, Louisville, Kentucky. You can contact this provider via phone number 5028936777 and fax number 5028995535. The mailing address for John R Penta is 950 Breckenridge Ln Ste 200, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John R Penta |
|---|---|
| Address | 950 Breckenridge Ln Ste 200, Louisville, Kentucky |
| Phone Number | 5028936777 |
| Fax Number | 5028995535 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760484604 |
|---|---|
| Provider Enumeration Date | 2005-08-11 |
| Last Updated Date | 2020-12-07 |
Provider Mailing Address Detail
| Address | 950 Breckenridge Ln Ste 200 |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402075929 |
| Phone Number | 5028936777 |
| Fax Number | 5028995535 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 21548 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 247085 | ANTHEM | ||
| 50000082 | PASSPORT | ||
| P01026547 | KY | MEDICARE RAILROAD | |
| 64215486 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to John R Penta by the Centers for Medicare & Medicaid Services?
The John R Penta has been issued the NPI (National Provider Identifier) 1760484604, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the John R Penta located?
The John R Penta is located at 950 Breckenridge Ln Ste 200, Louisville, KY 402075929.
What is John R Penta's specialized field of practice, and what is the corresponding taxonomy classification code?
The John R Penta's area of specialization is Obstetrics & Gynecology, and the corresponding taxonomy code that categorizes this field of practice is 207V00000X.
On what date did the John R Penta receive the assignment of its 1760484604 from the Centers for Medicare & Medicaid Services?
The John R Penta was issued its 1760484604 by the Centers for Medicare & Medicaid Services on 2005-08-11.
As of what date were the details related to John R Penta most recently updated or revised?
The information pertaining to John R Penta, including its address, specialty, and other relevant details, was last updated or revised on 2020-12-07.
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