IndividualActive
Jon Pennycuff, MD
NPI 1568889756 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Madison, WI
Provider details
- NPI number
- 1568889756
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense 75417-20 (WI)
Allopathic & Osteopathic Physicians
Student, Health Care
Allopathic & Osteopathic Physicians
Practice location
202 S Park St
Madison, WI 53715-1507
Phone: (608) 263-6240
Approximate (ZIP-level) locationGet directions
Mailing address
7974 Uw Health Ct
Middleton, WI 53562-5531
Registry dates
- Enumerated
- 2014-03-25
- Last updated
- 2021-09-22
- Certified
- 2021-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.