MEDICARE: STEPHANIE L. PENROSE, M.D., P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639211451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPHANIE L. PENROSE, M.D., P.C.

Provider Business Mailing Address
First Line	:	11175 E MISSISSIPPI AVE STE 210
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80012-3137
Country	:	US
Telephone Number	:	303-797-7227
Fax Number	:	303-797-8448

Provider Business Practice Location Address
First Line	:	11175 E MISSISSIPPI AVE STE 210
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80012-3137
Country	:	US
Telephone Number	:	303-797-7227
Fax Number	:	303-797-8448

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MRS. JENNIFER C BAHM
Credential	:
Telephone Number	:	303-797-7227

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	01/29/2026

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