Individual
DR. SIMON P PENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
613 CAMPUS DR, SUITE 200, ABINGDON, VA 24210-9703
(276) 628-1186
(276) 628-8507
Mailing address
613 CAMPUS DR, SUITE 200, ABINGDON, VA 24210-9703
(276) 628-1186
(276) 628-8507
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101034401
VA
207Q00000X
Family Medicine Physician
Primary
0101034401
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02
JD
—
01
—
064411
ANTHEM
—
05
—
1316936131
—
VA
01
—
3054602
BLUE CLASSIC
—
01
—
43304
OPTIMA SENTARA
—
01
—
4583916
AETNA
—
05
—
5642507
—
VA
Enumeration date
10/14/2005
Last updated
10/24/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us