LOUIS A. PENA (NPI# 1952793465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952793465 |
| Entity Type | Individual |
| Full Name | LOUIS A. PENA |
| Practice Address |
530 Demoss St. Lordsburg NM 88045-2618 |
| Practice Telephone | 5755422313 |
| Mailing Telephone | 5755422313 |
| Enumeration Date | 2015-02-21 |
| Last Update Date | 2016-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD2016-0288 | NM | Allopathic & Osteopathic Physicians |
| N | 291U00000X | Clinical Medical Laboratory | G72343 | CA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 23451246 | 05 | |
| NM | MEDICARE PTAN | 520681KYWY | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910520 | Louis T Pena | Nurse Anesthetist, Certified Registered | 1635 North Loop W, Houston, TX 77008-1532 | 2005-05-30 |
| Street Address |
530 DEMOSS ST. |
| City | LORDSBURG |
| State | NM |
| Zip Code | 88045-2618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942287602 | Neal A Bowen | Counselor | 530 Demoss St., Hidalgo Medical Services, Lordsburg, NM 88045-2618 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801224969 | Patrick Kelly Saucedo | Case Manager/Care Coordinator | 332 E. Motel Dr., Lordsburg, NM 88045 | 2013-10-28 |
| 1952749459 | Edgar Eduardo Gomez | Case Manager/Care Coordinator | 332 East Motel Drive, Lordsburg, NM 88045 | 2013-06-06 |
| 1265601652 | Kristene C. Sheryl | Counselor | 332 E. Motel Drive, Lordsburg, NM 88045 | 2008-02-29 |
| 1811396823 | Efstathia Yerende | Counselor | 530 De Moss St, Lordsburg, NM 88045 | 2014-08-14 |
| 1073931457 | Kerena Barron | Case Manager/Care Coordinator | 332 East Motel Drive, Lordsburg, NM 88045 | 2014-04-02 |
| 1972711687 | Steven Cecil Jones | Pharmacist | 530 Demoss St, Lordsburg, NM 88045 | 2007-05-18 |
| 1497878003 | Sara C Johnson | Speech-Language Pathologist | 500 Ownby St, Lordsburg, NM 88045 | 2007-04-09 |
| 1669429189 | Abeyta Physical Therapy & Sports Medicine Inc | Physical Therapist | 114 E Motel Dr, Lordsburg, NM 88045 | 2006-05-29 |
| 1508864133 | Frank Peacock | Dentist | 530 Demoss Street, Lordsburg, NM 88045 | 2005-07-08 |
| 1235143819 | James Bartlem Holder IIi | Internal Medicine | 167 North Main Street, Tuba City, AZ 88045-0600 | 2006-07-28 |
| Find all providers in zip 88045 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616679 | Gemma Cristina Zapater | General Practice | 923 Calle Fuerte Ne, Albuquerque, NM 87113-2373 | 2020-10-15 |
| 1710596036 | Provider Cares Network LLC | General Practice | 10401 Montgomery Pkwy Ne Ste 1a, Albuquerque, NM 87111-3876 | 2020-07-23 |
| 1154948081 | Designed Health Options, LLC | General Practice | 5065 Corrales Rd., Corrales, NM 87048 | 2020-06-26 |
| 1538714381 | Uyama A Fernandez | General Practice | 400 Gold Ave Sw Ste 220, Albuquerque, NM 87102-3278 | 2019-08-08 |
| 1386180909 | Lisselle Marie Villarrubia Ocasio | General Practice | Msc10 6000 1 University of New Mexico, Albuquerque, NM 87131-5505 | 2017-01-07 |
| 1225586969 | Joan Goldsworthy | General Practice | Unm School of Medicine Msc09 5040, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-09-12 |
| 1033568902 | Karen Griest | General Practice | 68 Pinon Trl, Cedar Crest, NM 87008-9444 | 2016-06-10 |
| 1447610886 | Sean T Mcgee | General Practice | Univeristy of New Mexico, Albuquerque, NM 87131-0001 | 2016-02-27 |
| 1275901266 | Lynn Schrader Sweeney | General Practice | 701 Kerney Dr, Farmington, NM 87401-3660 | 2015-09-08 |
| 1942608708 | Marathon Health, Inc. | General Practice | 2208 W Main St, C/o Concho Employee Health Center, Artesia, NM 88210-3720 | 2014-12-10 |
| Find all providers with the same taxonomy | ||||
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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.