PENIEL INTERVENTIONAL CARE
NPI 1871364646
Family Medicine - Addiction Medicine in Joppa, MD

Active since January 11, 2024
318 SPRY ISLAND RD, JOPPA, MD 21085(317) 797-9816 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peniel Interventional Care NPPES

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

PENIEL INTERVENTIONAL CARE (NPI 1871364646) is a healthcare organization registered as an addiction medicine in Joppa, Maryland and active in the NPI registry since January 2024. The organization lists Elsie Antwiwaa Tweneboah-koduah, Owner, as its authorized official.

NPPES Registry Identity

NPI1871364646
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NamePENIEL INTERVENTIONAL CARE
Location Address318 SPRY ISLAND RDJoppa, MD 21085-5424
Mailing Address318 Spry Island RdJoppa, MD 21085-5424 · (113) 177-9798
Organization SubpartNo
Authorized OfficialElsie Antwiwaa Tweneboah-koduahOwner · (317) 797-9816
Enumeration DateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
NPI 1871364646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
318 SPRY ISLAND RD, Joppa, MD 21085

Other Names 2

Doing Business AsPeniel Interventional Care
Doing Business AsPeniel Health Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
318 SPRY ISLAND RD
JOPPA, MD 21085

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 Peniel Interventional Care's NPI number?

The NPI number for Peniel Interventional Care is 1871364646. It was assigned to this organization in the NPPES registry on January 11, 2024. The provider is doing business as Peniel Health Services.

Where is Peniel Interventional Care located?

Peniel Interventional Care is located at 318 Spry Island Rd, Joppa, MD 21085. The listed phone number is (317) 797-9816.

What is Peniel Interventional Care's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Peniel Interventional Care was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.