DR. ELIZABETH GRYSKIEWICZ PENNINGTON DO, MS
NPI 1992492979
General Practice in Dayton, OH

Active since April 20, 2023PECOS Enrolled
30 E APPLE ST STE 6258, DAYTON, OH 45409(937) 208-8000 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Elizabeth Gryskiewicz Pennington Do, Ms NPPES

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

DR. ELIZABETH GRYSKIEWICZ PENNINGTON DO, MS (NPI 1992492979) is an individual general practice provider in Dayton, Ohio, licensed in Ohio (58.033627) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992492979
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. ELIZABETH GRYSKIEWICZ PENNINGTONCredential: DO, MS
Location Address30 E APPLE ST STE 6258Dayton, OH 45409-2939
Mailing Address620 John Paul Jones CirPortsmouth, VA 23708-2111 · (757) 953-5000
Sole ProprietorNo
Enumeration DateApril 20, 2023
Last NPPES UpdateJune 26, 2024
NPPES CertifiedJune 26, 2024
NPI 1992492979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in OH · 58.033627
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 58.033627 (OH)
30 E APPLE ST STE 6258, Dayton, OH 45409

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Elizabeth Gryskiewicz Pennington Do, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409
Surgery
30 E APPLE ST STE 6258
DAYTON, OH 45409
Surgery
30 E APPLE ST STE 6258
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409

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 Elizabeth Pennington's NPI number?

The NPI number for Elizabeth Pennington is 1992492979. It was assigned to this individual provider in the NPPES registry on April 20, 2023.

Where is Elizabeth Pennington located?

Elizabeth Pennington practices at 30 E Apple St Ste 6258, Dayton, OH 45409. The listed phone number is (937) 208-8000.

What is Elizabeth Pennington's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Elizabeth Pennington enrolled in Medicare?

Yes. Elizabeth Pennington is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Pennington was last updated on June 26, 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.