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DR. GREGORY K PENNOCK MD
NPI 1598749293
Internal Medicine - Hematology & Oncology in Jacksonville, FL

Active since December 06, 2005
1235 SAN MARCO BLVD, SUITE 2, JACKSONVILLE, FL 32207(904) 202-7300(904) 202-7377 Get Directions Write a Review

NPPES record last updated: November 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2015, Nov 12, 2015 (2 updates tracked since 2015).

About Dr. Gregory K Pennock Md NPPES

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

DR. GREGORY K PENNOCK MD (NPI 1598749293) is an individual hematology & oncology provider in Jacksonville, Florida, licensed in Florida (ME90972) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1598749293
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. GREGORY K PENNOCKCredential: MD
Location Address1235 SAN MARCO BLVD, SUITE 2Jacksonville, FL 32207-8554
Mailing AddressPo Box 13925Belfast, ME 04915-4030 · (904) 389-4105 · Fax (904) 202-7377
Phone(904) 202-7300
Fax(904) 202-7377
Sole ProprietorNo
Enumeration DateDecember 6, 2005
Last NPPES UpdateNovember 16, 20152 updates tracked since enumeration
✔ NPI 1598749293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in FL · ME90972
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1235 SAN MARCO BLVD, Jacksonville, FL 32207
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Other Identifiers 4

Medicare UPINH15007FL
Medicare PIN50514ZFL
Medicare PIN50514YFL
Medicaid270909100FL

Other Providers at the Same Location NPPES 14

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

GERARD A.COLUCCELLI,M.D.
Eyewear Supplier
1235 SAN MARCO BLVD, SUITE 401
JACKSONVILLE, FL 32207
Duval County (904) 398-2111
JOSEPH MIGNONE MD
Internal Medicine (Hematology & Oncology)
1235 SAN MARCO BLVD, 3RD FLOOR
JACKSONVILLE, FL 32207
Duval County (904) 493-5100
21ST CENTURY ONCOLOGY OF JACKSONVILLE LLC
Internal Medicine (Medical Oncology)
1235 SAN MARCO BLVD, SUITE 3
JACKSONVILLE, FL 32207
Duval County (904) 493-5100
INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Radiology (Radiation Oncology)
1235 SAN MARCO BLVD, SUITE 100
JACKSONVILLE, FL 32207
Duval County (904) 202-7020
NEUROSURGICAL ASSOCIATES OF NORTH FLORIDA INC.
Neurological Surgery
1235 SAN MARCO BLVD, STE 201
JACKSONVILLE, FL 32207
Duval County (904) 398-2756
NICOLE SUNDERLAND ANDERSON MD
Radiology (Radiation Oncology)
1235 SAN MARCO BLVD, SUITE 100
JACKSONVILLE, FL 32207
Duval County (904) 202-7020
REGIONAL CONSULTANTS IN HEMATOLOGY ONCOLOGY, INC.
Internal Medicine (Hematology & Oncology)
1235 SAN MARCO BLVD, 3RD FLOOR
JACKSONVILLE, FL 32207
Duval County (904) 493-5100
GERARD A COLUCCELLI MD PA
Ophthalmology
1235 SAN MARCO BLVD, 401
JACKSONVILLE, FL 32207
Duval County (904) 346-3506

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 Gregory Pennock's NPI number?

The NPI number for Gregory Pennock is 1598749293. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Gregory Pennock located?

Gregory Pennock practices at 1235 San Marco Blvd Suite 2, Jacksonville, FL 32207. The listed phone number is (904) 202-7300.

What is Gregory Pennock's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Gregory Pennock was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.