Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELLIOT CARR PENNINGTON, MD
ActiveDR. ELLIOT CARR PENNINGTON, MD is a Pediatric Surgery healthcare provider located in GRAND RAPIDS, Michigan. NPI 1235365081 is currently active in the NPPES registry. Verify at CMS.
Pediatric Surgery · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1235365081
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2009 (17.198061829353 yrs)
- Last Updated
- Mar 14, 2023
- Licenses
-
U2104 (TX)1235365081 (MI)
Practice Information
- Address
-
330 BARCLAY AVE NE STE 202GRAND RAPIDS, MI, 495032525Browse MI providers · Browse ZIP 49503
- Phone
- 6164438007
- Fax
- 6164580061
- Primary Specialty
-
Pediatric Surgery
2086S0120X
- Additional Specialty
- Pediatric Surgery
Other Pediatric Surgery Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| EMILY T DURKIN | M.D. | 1386694958 |
| DR. DANIEL JOHN ROBERTSON | M.D. | 1578501573 |
| DR. ROBERT ROBERT CONNORS | MD | 1679622765 |
| DR. JAMES MICHAEL DECOU | MD | 1326197625 |
| DR. NEAL DUANE UITVLUGT | MD | 1326197476 |
| DR. MARC GODFREY SCHLATTER | MD | 1235288317 |
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.