MARIE FERNICOLA PENNANEN (NPI# 1457349615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457349615 |
| Entity Type | Individual |
| Full Name | MARIE FERNICOLA PENNANEN |
| Credential | M.D. |
| Practice Address |
5530 Wisconsin Ave Suite 1455 Chevy Chase MD 20815-4404 |
| Mailing Address |
Po Box 70626 Bethesda MD 20813-0626 |
| Practice Telephone | 3016569010 |
| Practice Fax Number | 6016569011 |
| Mailing Telephone | 3016569010 |
| Mailing Fax Number | 3016569011 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2015-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
16392 | DC | Allopathic & Osteopathic Physicians |
| Street Address |
5530 WISCONSIN AVE SUITE 1455 |
| City | CHEVY CHASE |
| State | MD |
| Zip Code | 20815-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051424 | Madjid Matin | Dentist | 5530 Wisconsin Ave, Ste 1110, Chevy Chase, MD 20815-4330 | 2005-05-23 |
| 1508328378 | Bryn Marie Bonner | Physical Therapist | 5530 Wisconsin Ave, Chevy Chase, MD 20815-4404 | 2019-04-02 |
| 1578090791 | Eileen Patricia Goohs | Counselor | 5530 Wisconsin Ave, Chevy Chase, MD 20815-4404 | 2017-05-18 |
| 1427595107 | Anthony Alexander Gipe | Physical Therapist | 5530 Wisconsin Ave, Suite #1650, Chevy Chase, MD 20815-4404 | 2017-01-19 |
| 1528411253 | Scott D. Shapiro M.d., Ph.d., LLC | Internal Medicine | 5530 Wisconsin Ave, Suite 711, Chevy Chase, MD 20815-4404 | 2016-07-18 |
| 1669826517 | Cortney Elizabeth Tanner | Physician Assistant | 5530 Wisconsin Ave, Suite 1660, Chevy Chase, MD 20815-4404 | 2016-04-18 |
| 1386007565 | Elizabeth A Holcombe | Advanced Practice Midwife | 5530 Wisconsin Ave, Suite 1200, Chevy Chase, MD 20815-4404 | 2016-04-04 |
| 1083088355 | Miranda Stauffer | Physical Therapy Assistant | 5530 Wisconsin Ave, 1650, Chevy Chase, MD 20815-4404 | 2015-11-24 |
| 1063886042 | Emily Duke Wishik | Speech-Language Pathologist | 5530 Wisconsin Ave, Suite 1135, Chevy Chase, MD 20815-4404 | 2015-11-13 |
| 1285002469 | Mgmc, LLC | General Practice | 5530 Wisconsin Ave, Suite 960, Chevy Chase, MD 20815-4404 | 2015-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456454 | Sarah Trandel-korenchuk | Nurse Practitioner | 4622 Norwood Drive, Chevy Chase, MD 20815 | 2020-08-04 |
| 1730709254 | Lorelyn Pierola | Physical Therapist | 8700 Jones Mill Road, Chevy Chase, MD 20815 | 2020-04-24 |
| 1194292391 | Bradley T Nguyen | Student in an Organized Health Care Education/Training Program | 5454 Wisconsic Ave, Bethesda, MD 20815 | 2018-10-26 |
| 1053897652 | Seth Parker Worthing | Orthopaedic Surgery | 5454 Wisconsin Ave Ste 1000, Chevy Chase, MD 20815 | 2018-07-17 |
| 1104310382 | Brendan F. Burke, M.d., L.L.C. | Obstetrics & Gynecology | 5530 Wisconsin Ave Ste 850, Chevy Chase, MD 20815 | 2018-06-20 |
| 1740778240 | Miriam Brazer | Student in an Organized Health Care Education/Training Program | 4810 Bradley Blvd, Chevy Chase, MD 20815 | 2018-04-30 |
| 1285131201 | Juventino Aceves | Speech-Language Pathologist | 5530 Wisconsin, Chevy Chase, MD 20815 | 2018-04-06 |
| 1386167351 | Seth A. Greenblatt | Social Worker | 2 Wisconsin Circle, Suite 700, Your Health Concierge, Inc, Bethesda, MD 20815 | 2017-07-21 |
| 1932636990 | Katelyn Marie Engbert | Registered Nurse | 4717 Morgan Dr, Chevy Chase, MD 20815 | 2017-05-20 |
| 1043752512 | Erin Leeland Nes | Marriage & Family Therapist | 4405 East West Highway Suite 408, Bethesda, MD 20815 | 2016-11-15 |
| Find all providers in zip 20815 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396876629 | Chevy Chase Surgical Associates, P.C. | Surgery | 5530 Wisconsin Ave, Suite 1455, Chevy Chase, MD 20815-4404 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730466640 | Udai S. Kammula | Surgery | 6514 Democracy Blvd, Bethesda, MD 20817-1679 | 2011-11-05 |
| 1093962581 | Udo Rudloff | Surgery | Center for Cancer Research Ccr Nci Nih, Hatfield Center, Room 4-5940, 10 Center Drive, Bethesda, MD 20892-0001 | 2008-08-26 |
| 1912105495 | Cherif Boutros | Surgery | 305 Hospital Drive, Tate Center, Glen Burnie, MD 21061 | 2007-07-06 |
| 1972721009 | John Milburn Jessup | Surgery | 8012 Coach St, Potomac, MD 20854-3809 | 2007-04-23 |
| 1750389870 | Mukund S. Didolkar | Surgery | 2435 W Belvedere Ave, Suite 46, Baltimore, MD 21215-5224 | 2005-07-12 |
| 1922635531 | Lumiri Surgical LLC | Surgery | 8116 Good Luck Rd Ste 215, Lanham, MD 20706-3508 | 2020-03-24 |
| 1851710552 | Anne Arundel Physician Group LLC | Surgery | 4175 N Hanson Ct, Suite 201, Bowie, MD 20716-3179 | 2014-04-09 |
| 1205199874 | Richard Birkett | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2012-06-19 |
| 1730457102 | Francesco Maria Marincola | Surgery | 9000 Rockville Pike, Bethesda, MD 20892-0001 | 2011-12-13 |
| 1073880183 | Sinai Hospital of Baltimore, Inc | Surgery | 2401 W Belvedere Ave, Lapidus Cancer Institute, Baltimore, MD 21215-5216 | 2011-11-18 |
| Find all providers with the same taxonomy | ||||
| City | CHEVY CHASE |
| Zip Code | 20815 |
Please comment or provide details below to improve the information on MARIE FERNICOLA PENNANEN.
| 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.