Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Adrien Carl Ennis, DO

Individual provider Pediatrics Physician · NPI 1659868966

Dr. Adrien Carl Ennis, DO is a Pediatric Medicine in Meadville, Pennsylvania. Qualified in 2018, 8 years ago. Works from 2 locations. Licensed in Florida, Indiana and Pennsylvania.

Years since qualifying
8
Licensed in
FL, IN, PA
In the registry since
2018
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

765 Liberty St Ste 111
Meadville, PA 16335
Phone: (814) 336-6384
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2400 17th St, Columbus, IN 47201-5351 — (812) 376-5974

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 02008986A (IN)
Pediatrics Physician Taxonomy 208000000X · Licence TRAINING (FL)
Pediatrics Physician Taxonomy 208000000X · Licence 05021422 (PA)

Record details

NPI number1659868966
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 23, 2018
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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