Individual
DR. CHARLES PENVOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1920 TAMARACK RD, NEWARK, OH 43055-2303
(740) 344-8286
(740) 522-0094
Mailing address
1920 TAMARACK RD, NEWARK, OH 43055-2303
(740) 344-8286
(740) 522-0094
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003998
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
POD001444
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0444143
—
OH
Enumeration date
02/13/2020
Last updated
10/22/2025
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