DR. LEOPOLD ISAAC PENA (NPI# 1841392990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841392990 |
| Entity Type | Individual |
| Full Name | DR. LEOPOLD ISAAC PENA |
| Credential | M.D. |
| Practice Address |
3834 Austell Rd Sw Suite C Marietta GA 30008-5863 |
| Practice Telephone | 7709484219 |
| Practice Fax Number | 7707390310 |
| Mailing Telephone | 7709484219 |
| Mailing Fax Number | 7707390310 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 011898 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00079241B | 05 |
| Street Address |
3834 AUSTELL RD SW SUITE C |
| City | MARIETTA |
| State | GA |
| Zip Code | 30008-5863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649544800 | Georgia Neuropathy LLC | General Practice | 3834 Austell Rd Sw, Suite C, Marietta, GA 30008-5869 | 2012-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952740276 | Beta Discount Pharmacy & Health Services, LLC | Pharmacy | 776 Sandtown Rd Sw, Marietta, GA 30008 | 2013-06-19 |
| 1982935607 | Family Home Care, LLC | Respite Care | 1791 Silver Leaf Ct, Marietta, GA 30008 | 2010-01-20 |
| 1952546533 | Daniel Park | Plastic Surgery | 2285 Asquith Ave Sw Ste 200, Marietta, GA 30008 | 2008-12-10 |
| 1265657399 | Scott D Warner | Chiropractor | 3201 Austell Rd Sw, Marietta, GA 30008 | 2007-04-16 |
| 1972572642 | Cobb County Board of Health | Public Health or Welfare | 1650 County Services Parkway, Marietta, GA 30008 | 2006-03-15 |
| 1538662622 | Lorna Brown | Nurse Practitioner | 1825 County Services Pkwy Sw, Marietta, GA 30008 | 2018-03-14 |
| 1760825905 | Avantika Varma | Family Medicine | 1650 County Services Pkwy Sw Ste 200, Marietta, GA 30008 | 2013-04-08 |
| 1689887663 | Brenda W Wilson | Psychiatry & Neurology | 1650 County Services Pkwy, Marietta, GA 30008 | 2007-05-07 |
| 1043423023 | Karen J Carter | Psychiatry & Neurology | 1650 County Services Pkwy, Marietta, GA 30008 | 2007-05-07 |
| 1043587330 | Francine Edwards | Speech-Language Pathologist | 3665 Austell Road Sw, Suite 1017, Marietta, GA 30008-0000 | 2011-11-30 |
| Find all providers in zip 30008 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124653456 | Oasis Surgical Associates LLC | Surgery | 800 Kennesaw Ave Nw Ste 130, Marietta, GA 30060-1052 | 2020-03-06 |
| 1215453055 | Hossein Ramadan | Surgery | 3308 Keenland Rd, Marietta, GA 30062-7035 | 2017-08-14 |
| 1366978991 | Olympian Surgical Assistants | Surgery | 98 Whitlock Sq Sw, Marietta, GA 30064-3260 | 2017-05-02 |
| 1467611152 | Charles Wike | Surgery | 219 N Forest Ave Ne, Marietta, GA 30060-1623 | 2008-06-06 |
| 1164606042 | Justin Michael Watson | Surgery | 55 Whitcher Street 250, Marietta, GA 30060 | 2007-12-27 |
| 1457559759 | William Walker Train | Surgery | 55 Whitcher St Ne Ste 130, Marietta, GA 30060-1156 | 2007-07-07 |
| 1639209307 | Clemenceau De Jesus Lopes | Surgery | 1360 Powers Ferry Rd Se, Suite C - 150 - C - 300, Marietta, GA 30067-5490 | 2007-03-06 |
| 1548300015 | Michael J Oreilly | Surgery | 800 Canton Rd Ne, Marietta, GA 30060-7260 | 2007-02-07 |
| 1316083611 | Wellstar Comprehensive Bariatric Services LLC | Surgery | 780 Canton Rd Ne Ste 320, Marietta, GA 30060-7289 | 2007-01-30 |
| 1063570521 | Robert A. Underwood | Surgery | 598 Nancy St Nw Ste 250, Marietta, GA 30060-1377 | 2006-12-05 |
| Find all providers in MARIETTA | ||||
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| 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.