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GARY PENNER
NPI 1689740136
Family Medicine in Fairfax, VA

Active since November 27, 2006
11910 PARKSIDE DR, FAIRFAX, VA 22033(202) 816-2832 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gary Penner NPPES

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

GARY PENNER (NPI 1689740136) is an individual family medicine provider in Fairfax, Virginia, licensed in Virginia (0101027481) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1689740136
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGARY PENNER
Location Address11910 PARKSIDE DRFairfax, VA 22033-2648
Mailing Address11910 Parkside DrFairfax, VA 22033-2648 · (202) 816-2832
Phone(202) 816-2832
Sole ProprietorNo
Enumeration DateNovember 27, 2006
Last NPPES UpdateMarch 8, 2022
NPPES CertifiedMarch 8, 2022
✔ NPI 1689740136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in VA · 0101027481✔ Licensed in NE · 12875
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11910 PARKSIDE DR, Fairfax, VA 22033
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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 Gary Penner's NPI number?

The NPI number for Gary Penner is 1689740136. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Gary Penner located?

Gary Penner practices at 11910 Parkside Dr, Fairfax, VA 22033. The listed phone number is (202) 816-2832.

What is Gary Penner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gary Penner was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.