MARY JANE PENNINGTON (NPI# 1205868452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205868452 |
| Entity Type | Individual |
| Full Name | MARY JANE PENNINGTON |
| Credential | MD |
| Practice Address |
3725 W 4100 South West Valley City UT 84120 |
| Practice Telephone | 8019653600 |
| Practice Fax Number | 8019653526 |
| Mailing Telephone | 8019653600 |
| Mailing Fax Number | 8019653526 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 1750881205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851736888 | Mary Jane Pennington | Physical Therapist | 416 E 30th St, Baltimore, MD 21218-3934 | 2013-05-03 |
| Street Address |
3725 W 4100 SOUTH |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770514127 | Karen A Nash | Nurse Practitioner | 3725 W 4100 South, West Valley City, UT 84120 | 2006-07-05 |
| 1427080670 | Heather Campbell | Nurse Practitioner | 3725 W 4100 South, West Valley City, UT 84120 | 2006-07-07 |
| 1063444214 | Susan M Zimmerman | Psychiatry & Neurology | 3725 W 4100 South, West Valley City, UT 84120 | 2006-07-07 |
| 1386676526 | David C Nelson | Family Medicine | 3725 W 4100 South, West Valley City, UT 84120 | 2006-07-07 |
| 1316979560 | Sylvia Morin | Nurse Practitioner | 3725 W 4100 South, West Valley City, UT 84120 | 2006-07-07 |
| 1225060478 | Talmage Lee Bourne | Family Medicine | 3725 W 4100 South, West Valley City, UT 84120 | 2006-07-07 |
| 1861424012 | Dean N Walker | Orthopaedic Surgery | 3725 W 4100 South, West Valley City, UT 84120 | 2006-07-07 |
| 1023040276 | William H Burleigh | Podiatrist | 3725 W 4100 South, West Valley City, UT 84120 | 2006-07-07 |
| 1932131182 | Martin I Radwin | Internal Medicine | 3725 W 4100 South, West Valley City, UT 84120 | 2006-07-07 |
| 1578594925 | Scott D Sheridan | Family Medicine | 3725 W 4100 South, West Valley City, UT 84120 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349213 | Eli Kenny | Physical Therapist | 336 South 4155 West, West Valley City, UT 84120 | 2019-07-25 |
| 1841765377 | Wan Jen Horng | Pharmacist | 4052 Pioneer Parkway, # 111, West Valley City, UT 84120 | 2018-10-11 |
| 1841784220 | Andrea Savas | Physical Therapist | 3460 South 4155 West, West Valley City, UT 84120 | 2018-06-19 |
| 1235628223 | Meds In Motion, LLC | Pharmacy | 12101 S State St, Suite 101a, Draper, UT 84120 | 2018-05-04 |
| 1316477383 | Kendra Lindsey | Social Worker | 4052 W 3390 S Suite 105, West Valley City, UT 84120 | 2017-06-13 |
| 1154726842 | National Vision, Inc. | Technician/Technologist | 2569 South 5600 West, Ste A 550, West Valley, UT 84120 | 2014-10-24 |
| 1154637825 | Granger Pediatric Dentistry | Clinic/Center | 3725 W. 4100 S., Suite #260, West Valley City, UT 84120 | 2010-08-19 |
| 1104060714 | Comprehensive Medical Management, PC | Physical Medicine & Rehabilitation | 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 | 2009-04-27 |
| 1336384197 | Bamileke Sinju Sinju | Home Health | 3712 South Golden Grain Cir, West Valley City, UT 84120 | 2008-12-09 |
| 1164673331 | Empowered for Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5004 West Janette Drive, West Valley City, UT 84120 | 2008-10-07 |
| Find all providers in zip 84120 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063842334 | Joseph M Molina Md Professional Corporation - Southern California | Pediatrics | 2196 West 3500 South, Suite C1, West Valley City, UT 84119-3463 | 2013-11-22 |
| 1538402441 | Erika Ofek | Pediatrics | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2013-03-28 |
| 1780908574 | Reed Evers | Pediatrics | 3725 W 4100 S, West Valley City, UT 84120-5411 | 2010-03-23 |
| 1609977842 | Dana C Ostermiller | Pediatrics | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2006-09-26 |
| 1922023324 | David A Harris | Pediatrics | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2006-07-13 |
| 1447283932 | Julie I Wilkerson | Pediatrics | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2006-07-08 |
| 1508897927 | Alyson Eyre | Pediatrics | 3725 W 4100 South, West Valley City, UT 84120 | 2006-07-05 |
| 1780615153 | Bruce Montgomerie | Pediatrics | 3725 W 4100 South, West Valley City, UT 84120 | 2006-07-05 |
| 1174578611 | Mary E Shapiro | Pediatrics | 3730 W 4700 S, West Valley City, UT 84118-3457 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448057 | Puzzle Pediatrics LLC | Pediatrics | 230 N Hospital Dr Ste 3, Price, UT 84501-4222 | 2020-08-21 |
| 1619430303 | Hailey N. Baisch | Pediatrics | 81 N Mario Capecchi Dr Rm 1a.001, Salt Lake City, UT 84113-1125 | 2019-04-09 |
| 1184184632 | Abbey Jo Bentley | Pediatrics | 1248 E 90 N Ste 202, American Fork, UT 84003-2959 | 2019-03-21 |
| 1114487717 | Heber Valley Medical LLC | Pediatrics | 380 E 1500 S Ste 201, Heber City, UT 84032-3942 | 2019-03-21 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1811415565 | Community Health Centers, Inc. | Pediatrics | 324 Tenth Ave Ste 249, Salt Lake City, UT 84103-2889 | 2017-09-01 |
| 1124548805 | Joshua Brent Maxwell | Pediatrics | 8822 S Redwood Rd Ste C211, West Jordan, UT 84088-9340 | 2017-06-22 |
| 1083145445 | Landon Robert Hendricks | Pediatrics | 848 N 980 W, Orem, UT 84057-7709 | 2017-03-27 |
| 1902349657 | Kelson Physician Partner's of Layton, Inc. | Pediatrics | 5286 S. 3500 W., Suite A, Roy, UT 84067 | 2016-11-29 |
| 1134672074 | Robert Jarrett | Pediatrics | 12669 S Toscana Way, Herriman, UT 84096-4866 | 2016-07-27 |
| Find all providers with the same taxonomy | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84120 |
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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.