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

Dr. Jacob Pennington, DO

Individual provider Adult Reconstructive Orthopaedic Surgery Physician · NPI 1174915235

Dr. Jacob Pennington, DO is an Orthopedic Surgery in Port Charlotte, Florida. Qualified in 2015, 11 years ago. Practices with Advanced Orthopedic Center of Charlotte County, PA, a 37-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015
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

1641 Tamiami Trl
Port Charlotte, FL 33948-1018
Phone: (941) 629-6262
Fax: (941) 629-1782
Show map & directions

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

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence OS17460 (FL)

Record details

NPI number1174915235
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 26, 2015
Last updated in NPPESMarch 3, 2023
Certification dateMarch 3, 2023

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Advanced Orthopedic Center Of Charlotte County, Pa — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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