Mr. Keith Edwin Penner is a Thomasville, North Carolina based nurse anesthetist with 25 years of experience as Anesthesia Administration. He completed he graduation in 2000. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Keith Edwin Penner is 051810 for Anesthesia Administration in North Carolina. his current practice location is 207 Old Lexington Rd, Thomasville. Patients can reach him at 336-476-2586. Mr. Keith Edwin Penner is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1013944974. Mr. Keith Edwin Penner is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mr. Keith Edwin Penner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
25+ years
Medical School Attended:
Other
Graduation Year:
2000
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
207 Old Lexington Rd, Thomasville, North Carolina, 27360-3428
Phone:
336-476-2586
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9436180619
Enrollment ID:
I20050826000879
NPI Number:
1013944974
NPI Enumeration Date:
27 Jun, 2006
NPI Last Update On:
27 Oct, 2020
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Keith Edwin Penner are as mentioned below.
License Number
Specialization
State
Status
051810
Anesthesia Administration
North Carolina
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Novant Health Forsyth Medical Center (340014)
Winston-salem, NC
Acute Care Hospital
Novant Health Medical Park Hospital (340148)
Winston-salem, NC
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Keith Edwin Penner has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Forsyth Memorial Hospital Inc (9537071790)
551
Medical Park Hospital Inc (4880595958)
81
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Keith Edwin Penner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8051375
Medicaid
North Carolina
4630058715
Other
North Carolina
RR MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
207 Old Lexington Rd, Thomasville, North Carolina
Zip:
27360-3428
Phone Number:
336-476-2586
Fax Number:
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Patients can reach Mr. Keith Edwin Penner at 207 Old Lexington Rd, Thomasville, North Carolina or can call to book an appointment on 336-476-2586.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.