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

Dr. Michael William Penney, MD

Individual provider Diagnostic Radiology Physician · NPI 1700812815

Dr. Michael William Penney, MD is a Diagnostic Radiology in Fort Worth, Texas. Graduated from University of Arkansas College of Medicine in 1996, 30 years ago. Practices with Ochsner Clinic LLC, a 2,842-clinician group and works from 2 locations. Licensed in Arkansas, Florida, Louisiana and Missouri and 2 more.

Years since qualifying
30
Trained at
University of Arkansas College of Medicine
Licensed in
AR, FL, LA, MO, MS, TX
In the registry since
2006
Specialties on file
6
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

815 Pennsylvania Ave
Fort Worth, TX 76104-2294
Phone: (817) 321-0404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 — (314) 362-7200

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence T8015 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence E-2870 (AR)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2004009990 (MO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 345726 (LA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 34890 (MS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME148303 (FL)

Record details

NPI number1700812815
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address816 W Cannon St, Fort Worth, TX 76104-3194

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Ochsner Clinic Llc — 2842 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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