ROBERT ELDEN PENNINGTON MD, PHD, PC
NPI 1780873547
Neuromusculoskeletal Medicine, Sports Medicine in Roswell, NM

NPI Status: Active since October 17, 2007

Contact Information

1 EL ARCO IRIS DR
ROSWELL, NM
ZIP 88201
Phone: (505) 625-5512
Fax: (505) 625-1013

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About ROBERT ELDEN PENNINGTON MD, PHD, PC

This page provides the complete NPI Profile along with additional information for Robert Elden Pennington Md, Phd, Pc, a provider established in Roswell, New Mexico operating as a Neuromusculoskeletal Medicine, Sports Medicine. The healthcare provider is registered in the NPI registry with number 1780873547 assigned on October 2007. The practitioner's primary taxonomy code is 204C00000X with license number 95321 (NM). The provider is registered as an organization and their NPI record was last updated 19 years ago. Robert Elden Pennington Md, Phd, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Robert Pennington M.d., Phd (Physician Owner)

NPI
1780873547
Provider Name
ROBERT ELDEN PENNINGTON MD, PHD, PC
Entity Type
Organization
Location Address
1 EL ARCO IRIS DR ROSWELL, NM 88201
Location Phone
(505) 625-5512
Location Fax
(505) 625-1013
Mailing Address
1 EL ARCO IRIS DR ROSWELL, NM 88201
Mailing Phone
(505) 625-5512
Mailing Fax
(505) 625-1013
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2007
Last Update Date
10-17-2007
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Neuromusculoskeletal Medicine, Sports Medicine

Taxonomy Code
204C00000X
Type
Allopathic & Osteopathic Physicians
License No.
95321
License State
NM
Taxonomy Description
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208VP0000XAllopathic & Osteopathic Physicians

Pain Medicine
Pain Medicine

95321 (NM)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROBERT PENNINGTON M.D., PHD

Authorized Official Title
PHYSICIAN OWNER
Authorized Official Phone
(505) 625-5512

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
72080MEDICAID (05)NM 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1780873547, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 8 → 16 → 7 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 1 + 6 + 7 + 6 + 5 + 8 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1780873547.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Neuromusculoskeletal Medicine, Sports Medicine
1 EL ARCO IRIS DR
ROSWELL, NM 88201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780873547, enumerated as an "organization" on October 17, 2007.

The provider is located at 1 EL ARCO IRIS DR ROSWELL, NM 88201 and the phone number is (505) 625-5512.

Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.