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ANDREA R PENEPACKER M.D.
NPI 1467538892
Pediatrics in Dover, OH

Active since October 27, 2006
204 S BELLEVUE AVE, DOVER, OH 44622(330) 343-3321(330) 602-8712 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea R Penepacker M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA R PENEPACKER M.D. (NPI 1467538892) is an individual pediatrics provider in Dover, Ohio, licensed in Ohio (35-082468) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1467538892
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameANDREA R PENEPACKERCredential: M.D.
Location Address204 S BELLEVUE AVEDover, OH 44622-9405
Mailing Address204 S Bellevue AveDover, OH 44622-9405 · (330) 343-3321 · Fax (330) 602-8712
Phone(330) 343-3321
Fax(330) 602-8712
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1467538892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35-082468
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
204 S BELLEVUE AVE, Dover, OH 44622
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Other Identifiers 3

Medicare UPINI07308
Medicaid2437456OH
Medicare ID-Type UnspecifiedPE7322741

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEEPTHI SINGAM MD
Family Medicine
204 S BELLEVUE AVE
DOVER, OH 44622
Tuscarawas County (330) 364-7749
MS. SHANNONE KOCH APRN-CNP
Nurse Practitioner (Family)
204 S BELLEVUE AVE
DOVER, OH 44622
Tuscarawas County (234) 801-4747
DARLA R MOORE CNP
Nurse Practitioner (Family)
204 S BELLEVUE AVE
DOVER, OH 44622
Tuscarawas County (330) 365-1781
SPRINGVALE HEALTH CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
204 S BELLEVUE AVE
DOVER, OH 44622
Tuscarawas County (330) 343-6631
MRS. GINA MARIE VITALE-AMOS NP-C
Nurse Practitioner
204 S BELLEVUE AVE
DOVER, OH 44622
Tuscarawas County (234) 801-4747
DR. NICOLE E LEWIS PHARM.D.
Pharmacist
204 S BELLEVUE AVE
DOVER, OH 44622
Tuscarawas County (330) 365-1085
MAHAVEER MUKKAMALLA MD
Family Medicine
204 S BELLEVUE AVE
DOVER, OH 44622
Tuscarawas County (330) 343-7950
MISTY ELDER NP
Nurse Practitioner (Family)
204 S BELLEVUE AVE
DOVER, OH 44622
Tuscarawas County (330) 365-1781

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Penepacker's NPI number?

The NPI number for Andrea Penepacker is 1467538892. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Andrea Penepacker located?

Andrea Penepacker practices at 204 S Bellevue Ave, Dover, OH 44622. The listed phone number is (330) 343-3321.

What is Andrea Penepacker's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Andrea Penepacker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.