Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID J PENNYWELL, MD
Active Sole ProprietorDAVID J PENNYWELL, MD is a Thoracic Surgery (Cardiothoracic Vascular) healthcare provider located in SHREVEPORT, Louisiana. NPI 1588956957 is currently active in the NPPES registry. Verify at CMS.
Thoracic Surgery (Cardiothoracic Vascular) · SHREVEPORT, LA
Registration Details
- NPI Number
- 1588956957
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2011 (15.319734956968 yrs)
- Last Updated
- Jun 21, 2022
- Licenses
-
323194 (LA)E11964 (AR)323194 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1541 KINGS HWYSHREVEPORT, LA, 711034228Browse LA providers · Browse ZIP 71103
- Phone
- 3186260000
- Primary Specialty
-
Thoracic Surgery (Cardiothoracic Vascular)
208G00000X
- Additional Specialty
- Thoracic Surgery (Cardiothoracic Vascular)
- Additional Specialty
- Thoracic Surgery (Cardiothoracic Vascular)
Other Thoracic Surgery (Cardiothoracic Vascular) Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DAVID P. HAMM | MD | 1134182223 |
| DR. LAURENCE F HILLER | MD | 1134182082 |
| VYAS RAMUHALLI RAO | M.D. | 1992758999 |
| CURTIS A. PREJEAN JR. | MD | 1790705010 |
| JANE MARIE EGGERSTEDT | M.D. | 1336169275 |
| MARY CATHERINE MANCINI | M.D. | 1174546790 |
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.