Individual provider · Type 1 NPI

Charles Penvose, DPM

Foot & Ankle Surgery Podiatrist · Newark, OH

NPI number 1144853649 Active

Practice location

1920 Tamarack Rd
Newark, OH 43055-2303

Fax (740) 522-0094

Other practice locations

  • 2434 Richmiller Ln Unit C, Belpre, OH 45714-1075 · (740) 423-3207
  • 20 University Estates Blvd Unit 100, Athens, OH 45701-2967 · (740) 566-4640
  • 206 Columbus Rd Ste 303, Athens, OH 45701-1316 · (740) 423-3103

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103XPOD001444 (GA)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X36.003998 (OH)

Foot & Ankle Surgery Podiatrist: Definition to come...

7 other providers at this address

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About NPI 1144853649

Charles Penvose, DPM's National Provider Identifier is 1144853649, issued on Feb 13, 2020. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Newark, OH. The record was last updated on Oct 28, 2026.