Samuel Pennella, MD

Individual Active
NPI 1124524038
General Practice Physician Detroit, MI

Samuel Pennella, MD holds NPI 1124524038, with a primary taxonomy of general practice physician and a practice location in Detroit, MI. The number was issued on April 2, 2018 and the NPPES record was last updated on May 6, 2026. The record lists 5 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X 4301510893 (MI)
General Practice Physician 208D00000X 68449 (MN)
General Practice Physician 208D00000X TW00059 (KS)
General Practice Physician 208D00000X TPME2986 (FL)
General Practice Physician 208D00000X DR.0074417 (CO)

Practice locations

607 Shelby St Ste 700
Detroit, MI 48226-3282
Phone: (908) 208-8926
14 Glennon Farm Ln
Lebanon, NJ 08833-4504
Phone: (908) 208-8926

Local context

Active NPPES records list 378 providers with general practice physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 97 of them within 10 miles.

The same primary taxonomy is listed by 800 in Michigan and 29,969 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Nearby providers with the same primary taxonomy

Record history

Name on record
Dr. Samuel Pennella Jr.
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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