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Ms. Tracey O Pennington

Pain Medicine Sports Medicine

5320 Providence Rd Suite 204
Virginia Beach , Virginia 23464-4122

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Ms. Tracey O Pennington

Pain Medicine Sports Medicine

5320 Providence Rd Suite 204
Virginia Beach , Virginia 23464-4122

(757) 962-1911

Write a Review Save Call

Ms. Tracey O Pennington

Pain Medicine Sports Medicine

5320 Providence Rd Suite 204
Virginia Beach , Virginia 23464-4122

(757) 962-1911 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pain Medicine
  • Sports Medicine

Languages spoken

  • English

Location

5320 Providence Rd Suite 204 Virginia Beach , Virginia 23464-4122

First Address

  • Ms. Tracey O Pennington
  • 5320 Providence Rd Suite 204
  • Virginia Beach, VA
  • Zip : 23464-4122
  • Fax : (757) 962-1911
  • Phone : (757) 962-2121

Second Address

  • Ms. Tracey O Pennington
  • 5320 Providence Rd Suite 204
  • Virginia Beach, VA
  • Zip : 23464-4122
  • Fax : (757) 962-1911
  • Phone : (757) 962-2121

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FAQs


Where did Ms. Tracey O Pennington attend graduate school?

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Where did Ms. Tracey O Pennington do her residency?

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Where did Ms. Tracey O Pennington do her fellowship?

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Is Ms. Tracey O Pennington board certified?

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What type of doctor is Ms. Tracey O Pennington

Sports Medicine

In what state does Ms. Tracey O Pennington practice in?

Virginia

Where is Ms. Tracey O Pennington ’s practice located?

5320 Providence Rd Suite 204 , Virginia Beach, Virginia, 23464-4122

What is Ms. Tracey O Pennington ’s gender?

Female

Is Ms. Tracey O Pennington a sole practitioner?

No

Is Ms. Tracey O Pennington accepting new patients?

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What languages does Ms. Tracey O Pennington speak?

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Does Ms. Tracey O Pennington accept insurance?

Yes, Ms. Tracey O Pennington accepts insurance

Does Ms. Tracey O Pennington offers telemedicine?

Ms. Tracey O Pennington has not indicated if she offers telemedicine

What is Ms. Tracey O Pennington ’s professional license number?

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What is Ms. Tracey O Pennington ’s NPI number?

1497791669

Does Ms. Tracey O Pennington have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 2081P2900X Pain Medicine 0101231849 VA
Y 2081S0010X Sports Medicine 0101231849 VA
Y 213ES0000X Sports Medicine 0101231849 VA

National Provider Identifier

NPI 1497791669
Provider Name Ms. Tracey O Pennington
First Address Virginia Beach, VA 23464-4122
Second Address Virginia Beach, VA 23464-4122
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 22/06/2006
Last Update Date 03/02/2016

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
H70222 (02) WV

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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