Craig S Pennell (NPI# 1841351228, PAC ID# 4183667223) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1841351228 |
| PAC ID by PECOS | 4183667223 |
| Professional Enrollment ID | I20050614000007 |
| Full Name | Craig S Pennell |
| Address |
1824 Declaration Dr Independence KY 41051-8196 |
| Gender | M |
| Credential | OD |
| Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1989 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1824 Declaration Dr, Independence, KY 41051-8196 |
| Street Address |
1824 DECLARATION DR |
| City | INDEPENDENCE |
| State | KY |
| Zip | 41051-8196 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dean D Skinner | Chiropractic | 1922 Walton Nicholson, Independence, KY 41051 | |
| Gabriel Ymalay | Internal Medicine | Summit Medical Group, Inc. | 135 Courthouse Xing, Independence, KY 41051-2509 |
| Tasheena Slone | Family Medicine | Summit Medical Group, Inc. | 135 Courthouse Xing, Independence, KY 41051-2509 |
| Sherri K Jackson | Nurse Practitioner | Summit Medical Group, Inc. | 135 Courthouse Xing, Independence, KY 41051-2509 |
| Christina Lynn Lewis | Nurse Practitioner | Summit Medical Group, Inc. | 135 Courthouse Xing, Independence, KY 41051-2509 |
| Steve Brook | Family Practice | Summit Medical Group Inc | 135 Courthouse Xing, Independence, KY 41051-2509 |
| Dierdra K Robison | Chiropractic | 2144 Declaration Dr, Independence, KY 41051-7034 | |
| Martin J Mangan Iii | Family Medicine | Buc Independence LLC | 2025 Declaration Dr, Independence, KY 41051-7983 |
| Robert M Gevedon | Emergency Medicine | Buc Independence LLC | 2025 Declaration Dr, Independence, KY 41051-7983 |
| Randy K Sanzere | Physician Assistant | Buc Independence LLC | 2025 Declaration Dr, Independence, KY 41051-7983 |
| Find all physicians in zip 41051 | |||
| City | INDEPENDENCE |
| Zip Code | 41051 |
| Specialty | OPTOMETRY |
| City + Specialty | INDEPENDENCE + OPTOMETRY |
Please comment or provide details below to improve the information on Craig S Pennell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.