DR. SEAN GREGORY PENBERTHY (NPI# 1023492394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023492394 |
| Entity Type | Individual |
| Full Name | DR. SEAN GREGORY PENBERTHY |
| Credential | DO |
| Practice Address |
4076 Neely Rd Fort Wainwright AK 99703 |
| Mailing Address |
4076 Neely Rd Department of Women's Health Fort Wainwright AK 99703-5001 |
| Practice Telephone | 9073615172 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2019-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 1657 | NE | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Jarrett White Road, Tripler Army Medical Center, Tamc, HI 968595001 | 8084331815 |
| Street Address |
4076 NEELY RD |
| City | FORT WAINWRIGHT |
| State | AK |
| Zip Code | 99703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720021421 | Michael Shawn Neff | Family Medicine | 4076 Neely Rd, Basset Army Community Hospital, Fort Wainwright, AK 99703 | 2006-06-13 |
| 1295215515 | Aimee Duncan | Dietitian, Registered | 4076 Neely Rd, Fort Wainwright, AK 99703 | 2018-08-16 |
| 1891243374 | Lorna D Newman-hill | Nurse Practitioner | 4076 Neely Rd, Fort Wainwright, AK 99703-1376 | 2016-09-14 |
| 1053775213 | Robert Fisher | Licensed Practical Nurse | 4076 Neely Rd, Bassett Army Community Hospital Internal Med Clinic, Fort Wainwright, AK 99703 | 2016-04-13 |
| 1902210552 | Christina Remmert | Internal Medicine | 4076 Neely Rd, Bassett Army Community Hospital, Fort Wainwright, AK 99703 | 2014-06-11 |
| 1306289764 | Steven George Ward | Orthopaedic Surgery | 4076 Neely Rd, Fort Wainwright, AK 99703 | 2013-04-16 |
| 1023356797 | Momodoulamin Si Drammeh | Physician Assistant | 4076 Neely Rd, Fort Wainwright, AK 99703 | 2013-01-30 |
| 1093062861 | Joshua Glenn Hyatt | Dentist | 4076 Neely Rd, Fort Wainwright, AK 99703 | 2012-08-10 |
| 1598059461 | Andrey Yusupov | Radiology | 4076 Neely Rd, Fort Wainwright, AK 99703 | 2011-06-07 |
| 1063746931 | Darnell Autry Durrah Jr. | Psychologist | 4076 Neely Rd, Fort Wainwright, AK 99703 | 2009-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144866435 | Rebecca P Conner | Registered Nurse | Bach, 1060 Gafney Rd, Ft Wainwright, AK 99703 | 2019-11-21 |
| 1881242030 | Stephanie Morse | Counselor | Bldg 3406 Alder Ave, Ft. Wainwright, AK 99703 | 2019-08-30 |
| 1801376702 | Matthew Gerard Somma | Physician Assistant | 1-25 Attack Reconnaissance Bn, Fort Wainwright, AK 99703 | 2018-08-20 |
| 1003268657 | Brandy Tristan | Dental Hygienist | Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 | 2016-07-07 |
| 1174998918 | Jeffrey Grace | Physician Assistant | Bassett Army Medical Center (kamish Clinic), 1060 Gaffney Rd, Ft Wainwright, AK 99703 | 2015-12-04 |
| 1073999215 | Melanie Anne Whalen | Dentist | 4055 Tamarak Dr, Ft Wainwright, AK 99703 | 2015-08-10 |
| 1790183176 | Sally Jane Rall | Counselor | 3406 Adler Ave, Fairbanks, AK 99703 | 2014-12-16 |
| 1083029193 | Francesann Hill | General Practice | 3214 East Santiago Avenue, Apo, AP 99703 | 2014-06-26 |
| 1669883146 | Amber Benton | Psychiatry & Neurology | 4005-4007 602nd St, Fort Wainwright, AK 99703 | 2014-05-18 |
| 1952720898 | Allison Hubert | Occupational Therapist | 3410 Rhineland Ave, Rm 108, Fort Wainwright, AK 99703 | 2014-04-08 |
| Find all providers in zip 99703 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| 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 a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447491204 | Brit Geisler | Obstetrics & Gynecology | 4076 Neely Rd, Fort Wainwright, AK 99703 | 2009-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093352502 | Katieostrommd | Obstetrics & Gynecology | 205 W Fairview, Homer, AK 99603 | 2019-12-03 |
| 1659766582 | Jessica L Goldberger | Obstetrics & Gynecology | 2741 Debarr Rd Ste C-205, Anchorage, AK 99508-2961 | 2015-03-28 |
| 1760741151 | Bridget Rose Stralka | Obstetrics & Gynecology | 5595 Zeamer Ave, Anchorage, AK 99504 | 2012-05-07 |
| 1417214933 | Nicholas D Newbury | Obstetrics & Gynecology | 3268 Hospital Drive, Suite B, Juneau, AK 99801-7808 | 2012-04-20 |
| 1659647113 | John D. Erkmann Md, A Professional Corporation | Obstetrics & Gynecology | 1200 Airport Hts Dr, Suite 280, Anchorage, AK 99508-2965 | 2012-03-29 |
| 1588961114 | Cassandra Rae Cook | Obstetrics & Gynecology | Mat-su Women's Health Specialists, 2490 S. Woodworth Loop Suite 301, Palmer, AK 99645 | 2011-02-16 |
| 1760700884 | John D. Erkmann, M.d. | Obstetrics & Gynecology | 1200 Airport Heights Dr Ste 280, Anchorage, AK 99508-2971 | 2010-05-13 |
| 1568606804 | Bill Campbell Compton | Obstetrics & Gynecology | 17112 Laoana Dr, Eagle River, AK 99577-8505 | 2009-04-30 |
| 1376794156 | Jillian Marie Woodruff | Obstetrics & Gynecology | 3851 Piper St Ste U464, Anchorage, AK 99508-6905 | 2008-10-10 |
| 1184806176 | Integrated Women's Wellness & Center for Birth, LLC | Obstetrics & Gynecology | 780 S Snodgrass Drive, Palmer, AK 99645 | 2007-11-30 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAINWRIGHT |
| Zip Code | 99703 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.