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

Dr. Elliot Carr Pennington, MD

Individual provider Pediatric Surgery Physician · NPI 1235365081

Dr. Elliot Carr Pennington, MD is a General Surgery in Grand Rapids, Michigan. Graduated from University of Missouri, Columbia School of Medicine in 2009, 17 years ago. Practices with Pediatric Surgeons of West Michigan PC, a 3-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and Texas.

Years since qualifying
17
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
MI, TX
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

330 Barclay Ave NE Ste 202
Grand Rapids, MI 49503-2525
Phone: (616) 443-8007
Fax: (616) 458-0061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 330 Barclay Ave Ne Ste 202, Grand Rapids, MI 49503-2525 — (616) 458-1722
  • 333 N Santa Rosa, San Antonio, TX 78207-3108 — (713) 798-1750

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 1235365081 (MI)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence U2104 (TX)

Record details

NPI number1235365081
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2009
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Pediatric Surgeons Of West Michigan Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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