Individual provider · Type 1 NPI

Jon Fredrick Pennycuff, MD

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Madison, WI

NPI number 1568889756 Active

Practice location

610 Leonard St
Madison, WI 53711-1939

Specialties and licenses

Taxonomy	Code	License
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Primary	207VF0040X	75417-20 (WI)
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Obstetrics & Gynecology Physician	207V00000X	MD046440 (DC)

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician: A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures nec…

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About NPI 1568889756

Jon Fredrick Pennycuff, MD's National Provider Identifier is 1568889756, issued on Mar 25, 2014. The primary taxonomy on file is Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (207VF0040X), and the practice location is in Madison, WI. The record was last updated on Sep 30, 2026.