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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES PENVOSE, DPM

Active Sole Proprietor

DR. CHARLES PENVOSE, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in NEWARK, Ohio. NPI 1144853649 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · NEWARK, OH

Registration Details

NPI Number
1144853649
Provider Type
Individual
Gender
Male
NPI Issued
Feb 13, 2020 (6.5029578723595 yrs)
Last Updated
Oct 22, 2025
Licenses
POD001444 (GA)
36.003998 (OH)
Sole Proprietor
Yes

Practice Information

Address
1920 TAMARACK RD
NEWARK, OH, 430552303
Browse OH providers · Browse ZIP 43055
Phone
7403448286
Fax
7405220094
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in NEWARK, OH

Name Credential NPI
DR. CATHERINE CHIODO D.P.M. 1063580199
MISS AMANDA LEIGH QUISNO D.P.M. 1265799217
MS. CHERREEN TAWANCY DPM 1285052878
DR. BRITTANY GREEN DPM 1568860955
MENA SHOKRY SHAFIEK DPM 1750878609
NADIA HAMEED 1457931016
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.