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

Dr. Charles Penvose, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1144853649

Dr. Charles Penvose, DPM is a Podiatry in Newark, Ohio. Graduated from Kent State University College of Podiatric Medicine in 2018, 8 years ago. Practices with Marietta Memorial Hospital, a 386-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Georgia and Ohio.

Years since qualifying
8
Trained at
Kent State University College of Podiatric Medicine
Licensed in
GA, OH
In the registry since
2020
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1920 Tamarack Rd
Newark, OH 43055-2303
Phone: (740) 344-8286
Fax: (740) 522-0094
Show map & directions

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

Additional practice locations (3)

  • 20 University Estates Blvd Unit 100, Athens, OH 45701-2967 — (740) 566-4640
  • 206 Columbus Rd Ste 303, Athens, OH 45701-1316 — (740) 423-3103
  • 2434 Richmiller Ln Unit C, Belpre, OH 45714-1075 — (740) 423-3207

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 36.003998 (OH)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence POD001444 (GA)

Record details

NPI number1144853649
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedFebruary 13, 2020
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address1920 Tamarack Rd, Newark, OH 43055-2303

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2018 (8 years in practice)
Group practice Marietta Memorial Hospital — 386 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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