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

Phyllis A Pennington, DO

Individual provider Internal Medicine Physician · NPI 1720377740

Phyllis A Pennington, DO is a Family Practice in Canon City, Colorado. Qualified in 2011, 15 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
15
Licensed in
CO
In the registry since
2011
Specialties on file
2
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

1338 Phay Ave
Canon City, CO 81212-2311
Phone: (719) 285-2700
Fax: (719) 285-2975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 825 W 6th St, Leadville, CO 80461-2205 — (719) 486-1264

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0052834 (CO)
Internal Medicine Physician Taxonomy 207R00000X · Licence DR.0052834 (CO)

Record details

NPI number1720377740
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 30, 2011
Last updated in NPPESJanuary 7, 2024
Certification dateJanuary 7, 2024
Mailing address825 W 6th St, Leadville, CO 80461-2205

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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