MS. TRACEY O PENNINGTON (NPI# 1497791669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497791669 |
| Entity Type | Individual |
| Full Name | MS. TRACEY O PENNINGTON |
| Credential | M.D.,M.P.H. |
| Practice Address |
5320 Providence Rd Suite 204 Virginia Beach VA 23464-4122 |
| Practice Telephone | 7579622121 |
| Practice Fax Number | 7579621911 |
| Mailing Telephone | 7579622121 |
| Mailing Fax Number | 7579621911 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2016-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
0101231849 | VA | Allopathic & Osteopathic Physicians |
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
0101231849 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
5320 PROVIDENCE RD SUITE 204 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23464-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902871130 | Katherine P Law | Family Medicine | 5320 Providence Rd, Ste 301, Virginia Beach, VA 23464 | 2006-02-21 |
| 1689008559 | Sarah B Rorick | Physician Assistant | 5320 Providence Rd, Virginia Beach, VA 23464-4122 | 2013-08-28 |
| 1336444397 | Pain Management & Orthopedic Center PC | Specialist | 5320 Providence Rd, Suite 204, Virginia Beach, VA 23464-4122 | 2011-01-21 |
| 1700903325 | Sentara Medical Group | Durable Medical Equipment & Medical Supplies | 5320 Providence Rd, Virginia Beach, VA 23464-4122 | 2007-03-26 |
| 1508946104 | Marc Anthony Mcaninley | Physician Assistant | 5320 Providence Rd, Suite 101, Virginia Beach, VA 23464-4122 | 2006-10-17 |
| 1154339158 | Francis V Javier | Family Medicine | 5320 Providence Rd, Ste 301, Virginia Beach, VA 23464-4122 | 2006-08-04 |
| 1144283516 | Dennis L. Hufford | Family Medicine | 5320 Providence Rd, Suite 301, Virginia Beach, VA 23464-4122 | 2006-04-07 |
| 1992771521 | Ravinder Mohan | Family Medicine | 5320 Providence Rd, Suite 301, Virginia Beach, VA 23464-4122 | 2006-02-24 |
| 1548235849 | Meredith B Rose | Family Medicine | 5320 Providence Rd, Ste 301, Virginia Beach, VA 23464 | 2006-02-21 |
| 1255306544 | Francisco A Espada | Family Medicine | 5320 Providence Rd, Ste 301, Virginia Beach, VA 23464 | 2006-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610581 | Ainsley's Angels of America | Durable Medical Equipment & Medical Supplies | 828 Cabrini Place, Virginia Beach, VA 23464 | 2019-03-29 |
| 1104313055 | Your Family Is Family Home Healthcare Services, LLC | Respite Care | 1311 Hafford Road, Virginia Beach, VA 23464 | 2018-04-17 |
| 1497274765 | Jamie Crisman | Occupational Therapist | 1400 Fordham Drive, Virginia Beach, VA 23464 | 2017-09-18 |
| 1861919334 | Joshua Hoxter | Chiropractor | 6070 Indian River Rd Ste 102, Virginia Beach, VA 23464 | 2017-08-25 |
| 1669909917 | Toni Faye Tayag | Specialist/Technologist | 909 Tidemark Court, Virginia Beach, VA 23464 | 2017-05-17 |
| 1922545540 | Divinefavor LLC | Non-emergency Medical Transport (VAN) | 1014 Level Green Blvd, Virginia Beach, VA 23464 | 2017-01-20 |
| 1326499807 | David Klucznik | Dentist | 5564 Indian River Road, Virginia Beach, VA 23464 | 2016-06-27 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1588071807 | Linda Mathis | Skilled Nursing Facility | 5520 Indian Road, Virginia Beach, VA 23464 | 2014-07-18 |
| 1083045561 | Manny-nelson Med LLC | Durable Medical Equipment & Medical Supplies | 1612 Centerville Turnpike, Suite 308, Virginia Beach, VA 23464 | 2013-12-09 |
| Find all providers in zip 23464 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366534349 | Matthew N Leyton | Physical Medicine & Rehabilitation | 816 Independence Blvd, Suite 2c, Virginia Beach, VA 23455-6010 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603663 | Gregory Hartman, Dpt LLC | Physical Medicine & Rehabilitation | 47327 Rock Falls Ter, Sterling, VA 20165-2433 | 2020-09-09 |
| 1194334326 | Sterling Leann Cupp | Physical Medicine & Rehabilitation | 24180 Belleau Avenue, Quantico, VA 22134-5109 | 2020-07-23 |
| 1225502883 | Robert Banks | Physical Medicine & Rehabilitation | 6014 Stoddard Ct Apt P2, Alexandria, VA 22315-5607 | 2019-01-17 |
| 1285131524 | Amber Cook | Physical Medicine & Rehabilitation | 613 Woodcliffe Dr, Colonial Heights, VA 23834-1942 | 2018-04-12 |
| 1871947564 | Elizabeth Daidone | Physical Medicine & Rehabilitation | 72 Bolling Cir, Palmyra, VA 22963-3247 | 2016-04-19 |
| 1205246519 | Bon Secours Depaul Medical Center Inc | Physical Medicine & Rehabilitation | 908 Eden Way N Ste 100, Chesapeake, VA 23320-3336 | 2014-05-08 |
| 1467876789 | Joshua J. Rader | Physical Medicine & Rehabilitation | 1460 University Drive, Shenandoah University, Winchester, VA 22601 | 2014-02-06 |
| 1497075584 | Stephanie A Giammittorio | Physical Medicine & Rehabilitation | 120 Kings Way Ste 2800, Williamsburg, VA 23185 | 2010-06-11 |
| 1063489946 | Ricky Randall Lapradd Jr. | Physical Medicine & Rehabilitation | 2102 Grandin Rd Sw, Roanoke, VA 24015-3528 | 2006-03-01 |
| 1770572885 | Cjw Sports Medicine LLC | Physical Medicine & Rehabilitation | 5309 Commonwealth Parkway, Suite 100, Richmond, VA 23112 | 2005-10-20 |
| Find all providers with the same taxonomy | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23464 |
Please comment or provide details below to improve the information on MS. TRACEY O PENNINGTON.
| 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.