MEDICARE: DR. ROY MASON PENNINGTON III MD

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	207R00000X	Internal Medicine Physician	0101263036	VA

General Provider Information

NPI Number	:	1720441207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROY MASON PENNINGTON III MD

Provider Business Mailing Address
First Line	:	100 WHITE STREET
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28540
Country	:	US
Telephone Number	:	910-449-6500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1775 FORRESTAL DR BLDG 33
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23551-0001
Country	:	US
Telephone Number	:	757-953-3647
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2016
Last Update Date	:	12/01/2021

Similar Medicare Providers

1366420853 — DR. SUPAKUNYA EDMONSON D.O.
Practice Location Address:

USS ENTERPRISE , MEDICAL DEPT
NORFOLK, VA
23551-0001

Practice Phone: 757-444-8632
Practice Fax:

1871585448 — TIFFANY A JONES RDH
Practice Location Address:

USS JOHN F. KENNEDY CV-67 , 1562 MITSCHER AVE SUITE 250
NORFOLK, VA
23551-0001

Practice Phone: 904-270-5602
Practice Fax:

1891775532 — DR. MARTIN LEWIS SNYDER M.D.
Practice Location Address:

U.S.FLEET FORCES COMMAND-COMMAND SURGEON , 1562 MITSCHER AVE SUITE 250
NORFOLK, VA
23551-0001

Practice Phone: 757-836-5515
Practice Fax:

1407820426 — DR. JEFFERY WAYNE PAULSON MD
Practice Location Address:

FLEET FORCES COMMAND , 1562 MITSCHER AVE, STE 250
NORFOLK, VA
23551-0001

Practice Phone: 757-836-0106
Practice Fax: 757-836-5499

1780955534 — CHRISTOPHER HALAGARDA RD
Practice Location Address:

US MARINE CORPS FORCES COMMAND , 1775 FORRESTAL DRIVE
NORFOLK, VA
23551-0001

Practice Phone: 757-836-1685
Practice Fax:

1811391006 — MR. PATRICK EDWARD GOLDSMITH PA-C
Practice Location Address:

MARINE STAFF SERVICES 1775 FORRESTAL DRIVE BLDG 41
NORFOLK, VA
23551-0001

Practice Phone: 910-581-0065
Practice Fax:

Directions to “ DR. ROY MASON PENNINGTON III MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.