DR. JERI L PENKAVA


Address: 1370 Pantheon Way Ste 250, San Antonio, TX 78232-2290
Phone: 2104032343

DR. JERI L PENKAVA (NPI# 1134285430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134285430
Entity Type Individual
Full Name DR. JERI L PENKAVA
Credential MD
Practice Address 1370 Pantheon Way Ste 250
San Antonio
TX 78232-2290
Practice Telephone 2104032343
Practice Fax Number 2104032350
Mailing Telephone 2104032343
Mailing Fax Number 2104032350
Enumeration Date 2006-12-29
Last Update Date 2020-02-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
G4242 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX PTAN 347259 01
TX 121517009 05

Office Location

Street Address 1370 PANTHEON WAY STE 250
City SAN ANTONIO
State TX
Zip Code 78232-2290

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295371334 Rachelle Renee Morales Counselor 620 W Afton Oaks Blvd, San Antonio, TX 78232 2019-11-25
1508328360 Ruene Anne Villalobos Licensed Vocational Nurse North Loop 1604 E #350, San Antonio, TX 78232 2019-04-02
1063908671 Steven C. Albright Dds, Pa Oral & Maxillofacial Surgery 15600 San Pedro Ave Ste 107, San Antonio, TX 78232 2018-07-06
1437666583 Jennifer Harris Physician Assistant 1380 Pantheon Way Ste 310, San Antonio, TX 78232 2018-01-10
1003334616 Third Space Counseling and Consultation, Pllc Counselor 1380 Pantheon Way Suite 245, San Antonio, TX 78232 2017-09-03
1336678135 Gregory Arellanes Specialist/Technologist, Other 1141 N Loop 1604 E #105-612, San Antonio, TX 78232 2017-06-06
1528437811 Jonathan Hodge Specialist/Technologist, Other 1141 E Loop 1604, Suite 105, San Antonio, TX 78232 2015-09-17
1356726376 Shawn Grubbs Spec/Tech, Cardiovascular 16620 Us Hwy 281n, Suite 300, San Antonio, TX 78232 2015-07-21
1336522051 Comprehensive Neuromonitoring Pllc Psychiatry & Neurology 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 2015-06-30
1841690526 Janet Porter Registered Nurse 15909 San Pedro Ave Ste 204, San Antonio, TX 78232 2014-08-29
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Taxonomy Information

Taxonomy Code 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104828995 Nhung Thi-vien Tran Pediatrics Uthscsa Department of Pediatrics, 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 2005-08-11
1538321088 Beth A. Trevino Pediatrics 5414 Fredericksburg Rd, Suite 250, San Antonio, TX 78229-3641 2008-06-26
1508085838 Katherine Burns Pediatrics 5414 Fredericksburg Rd, Suite 250, San Antonio, TX 78229-3641 2007-04-25
1578639902 Marci Ray Taylor Pediatrics 85 Ne Loop 410, Suite 209, San Antonio, TX 78216-5829 2006-11-28
1982773198 Treehouse Pediatric Center Pediatrics 85 Ne Loop 410, Suite 209, San Antonio, TX 78216-5829 2006-11-06
1437228582 Treehouse Behavioral Services Pediatrics 85 Ne Loop 410, Suite 209, San Antonio, TX 78216-5829 2006-11-06
1033172374 Mario A Fierro Pediatrics 5414 Fredericksburg Rd, Suite 250, San Antonio, TX 78229-3641 2006-04-08
1730175662 Randall Curtis Zernzach Pediatrics 5430 Fredericksburg Rd, Suite 508, San Antonio, TX 78229-3539 2005-09-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932615234 Pediatrics Plus Therapy Pediatrics 6025 Sports Village Road, Frisco, TX 75033 2017-12-21
1508371824 Kamvic Home Health Care LLC Pediatrics 21111 Barton Hollow Ln, Richmond, TX 77407-6416 2017-12-08
1962838458 Sheri Michelle Ravenscroft Pediatrics 5359 N Ih 35 Frontage Rd, Ste 100, Austin, TX 78723-6300 2013-09-17
1467650564 Charles Mike Rios Pediatrics 1100 S. Main St. #103, Grapevine, TX 76051 2007-07-10
1891908901 Harold Mark Welch Jr. Pediatrics 3019 Medlin Dr, Suite 100, Arlington, TX 76015-2307 2007-05-07
1699987651 Peter Campbell Ray Pediatrics 8300 Douglas Ave Ste 731, Dallas, TX 75225-5825 2007-05-03
1447384706 Julie Jacob Pediatrics 8501 Wade Blvd Ste 330, Frisco, TX 75034-6264 2007-03-16
1598873135 Beatrice Thetgyi Ting Pediatrics 3607 Rivera Ave, El Paso, TX 79905-2415 2006-08-25
1699718205 Heidi A Castillo Pediatrics 6701 Fannin Street, Suite 1530, Houston, TX 77030 2006-06-13
1669426490 Timothy P. Bohan Pediatrics 6400 Fannin Street, Suite 2740, Houston, TX 77030-1539 2006-05-19
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Competitor

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City SAN ANTONIO
Zip Code 78232

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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