Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467538892 Individual Practitioner Female Practitioner

Dr. Andrea R Penepacker , MD

Pediatrics • Dover, OH

Professional Overview & Biography Verified Profile Summary

Dr. Andrea Penepacker, MD is a registered healthcare professional specializing in Pediatrics in Dover, OH. Practice services are available at 204 S BELLEVUE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

204 S Bellevue Ave

Dover, OH 446229405

Telephone 3303433321
Fax 3306028712
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Dover, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Dover, OH (3057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 35-082468

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2437456 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1235444159

Doctor of Medicine (M.D.)

Shannone Koch , APRN-CNP

Nurse Practitioner - Family

NPI 1346601077

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Darla Moore , CNP

Nurse Practitioner - Family

NPI 1407404551

Certified Nurse Practitioner

Gina Vitale-Amos , NP-C

Nurse Practitioner

NPI 1528302742

Nurse Practitioner (Certified)

NPI 1619570314

Doctor of Pharmacy (Pharm.D.)

NPI 1689866543

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 204 S BELLEVUE AVE, DOVER, OH 446229405 (Tel: 3303433321)

📍
Updated Business Mailing Address July 08, 2007

Registered at 204 S BELLEVUE AVE, DOVER, OH 446229405 (Tel: 3303433321)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ANDREA PENEPACKER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #35-082468 in OH)

🟢
Initial NPI Registration & Enumeration October 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467538892
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

204 S Bellevue Ave

Dover, OH 446229405

Phone: 3303433321

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.