DR. LARRY L PENNEY (NPI# 1972521565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972521565 |
| Entity Type | Individual |
| Full Name | DR. LARRY L PENNEY |
| Credential | M.D. |
| Practice Address |
1502 E Broadway Suite 106 Columbia MO 65201-8076 |
| Practice Telephone | 5734434511 |
| Practice Fax Number | 5734437860 |
| Mailing Telephone | 5734434511 |
| Mailing Fax Number | 5734437860 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
R8H52 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1502 E BROADWAY SUITE 106 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-8076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376168 | Philip Conrad Jaynes | Dentist | 1502 E Broadway, Ste 209, Columbia, MO 65201-8076 | 2005-06-21 |
| 1235484718 | Myriam Ensling, M.d., LLC | Internal Medicine | 1502 E Broadway, Suite 201, Columbia, MO 65201-8076 | 2012-07-20 |
| 1063630101 | Ronald Wayne Ochsner | Dentist | 1502 E Broadway, Suite 201, Columbia, MO 65201-8076 | 2007-04-23 |
| 1982625877 | Radiology Consultants, Inc | Radiology | 1502 E Broadway, Suite 210, Columbia, MO 65201-8076 | 2006-07-23 |
| 1386679298 | Gilbert Wilshire | Obstetrics & Gynecology | 1502 E Broadway, Suite 106, Columbia, MO 65201-8076 | 2006-07-11 |
| 1477540458 | Charles M. Swaney | Radiology | 1502 E Broadway, Suite 210, Columbia, MO 65201-8076 | 2005-10-04 |
| 1992792071 | Vijay K. Sadhu | Radiology | 1502 E Broadway, Suite 210, Columbia, MO 65201-8076 | 2005-10-04 |
| 1720075823 | David P. Brummett | Radiology | 1502 E Broadway, Suite 210, Columbia, MO 65201-8076 | 2005-10-04 |
| 1821085812 | Hun T. Lee | Radiology | 1502 E Broadway, Suite 210, Columbia, MO 65201-8076 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 |
|---|---|---|---|---|
| 1386810240 | Shvetha Murthy Zarek | Obstetrics & Gynecology | 500 N Keene St Ste 203, Columbia, MO 65201-8144 | 2008-05-01 |
| 1730354259 | Carolina Center for Fertility & Endocrinology, Pa | Obstetrics & Gynecology | 1410 Blanding St, Suite 205, Columbia, SC 29201-2967 | 2008-04-25 |
| 1386679298 | Gilbert Wilshire | Obstetrics & Gynecology | 1502 E Broadway, Suite 106, Columbia, MO 65201-8076 | 2006-07-11 |
| 1184671158 | Edward E Moore | Obstetrics & Gynecology | 1410 Blanding St, Suite 205, Columbia, SC 29201 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134484082 | Violet Klenov | Obstetrics & Gynecology | 621 S New Ballas Rd Tower A, Suite 676, St. Louis, MO 63141 | 2012-07-06 |
| 1063525038 | Peter Ahlering | Obstetrics & Gynecology | 555 N Ballas Rd, #150, Saint Louis, MO 63141 | 2006-08-16 |
| 1235160748 | Sarah L Keller | Obstetrics & Gynecology | 4444 Forest Park Ave Ste 3100, Ste 3100, Saint Louis, MO 63108-2212 | 2006-07-05 |
| 1316994841 | Reproductive Endocrine-infertility Care, P.a. | Obstetrics & Gynecology | 1206 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2006-05-29 |
| 1932178845 | Berold I Witten | Obstetrics & Gynecology | 555 N New Ballas Rd Ste 150, Saint Louis, MO 63141-6843 | 2006-03-14 |
| 1124092556 | Molina Bhatnagar Dayal | Obstetrics & Gynecology | 555 New Ballas Rd, Ste 150, St. Louis, MO 63141 | 2006-02-14 |
| 1336766492 | Stlfertility LLC | Obstetrics & Gynecology | 555 N New Ballas Rd Ste 150, Saint Louis, MO 63141-6843 | 2020-07-06 |
| 1265929459 | Reproductive Medical Associates of St Louis | Obstetrics & Gynecology | 641 N New Ballas Rd, Creve Coeur, MO 63141-6713 | 2018-04-13 |
| 1508219445 | Blue Sky Fertility Services LLC | Obstetrics & Gynecology | 6675 Holmes Rd, Ste 680, Kansas City, MO 64131-1150 | 2016-07-15 |
| 1023473279 | Vios Fertility Institute St. Louis, LLC | Obstetrics & Gynecology | 621 S New Ballas Rd, Tower A, Suite 260, Saint Louis, MO 63141-8232 | 2015-12-15 |
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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.