JULIO ERNESTO PENA (NPI# 1073891198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073891198 |
| Entity Type | Individual |
| Full Name | JULIO ERNESTO PENA |
| Credential | M.D. |
| Practice Address |
1360 Caduceus Way Bldg 400, Suite 104 Watkinsville GA 30677-7300 |
| Practice Telephone | 7068508135 |
| Practice Fax Number | 7065489101 |
| Mailing Telephone | 7068508135 |
| Mailing Fax Number | 7065489101 |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2016-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
75119 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275096430 | Julio Cesar Pena | Behavioral Analyst | 1025 Atlantic Ave Ste 101, Alameda, CA 94501-1188 | 2019-04-12 |
| 1992124069 | Julio Cesar Pena | Student in an Organized Health Care Education/Training Program | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2014-04-15 |
| Street Address |
1360 CADUCEUS WAY BLDG 400, SUITE 104 |
| City | WATKINSVILLE |
| State | GA |
| Zip Code | 30677-7300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053358366 | Kenneth Bradley Hall | Dentist | 1360 Caduceus Way, Bldg 900 Ste 101, Watkinsville, GA 30677-7300 | 2006-06-02 |
| 1275134785 | Ivey Reeves Tenny | Behavioral Analyst | 1360 Caduceus Way, Watkinsville, GA 30677-7300 | 2020-11-03 |
| 1649887639 | Danymarie Baldon Consolacion | Behavior Technician | 1360 Caduceus Way, Watkinsville, GA 30677-7300 | 2020-09-24 |
| 1750906822 | Marissa Evans | Behavior Technician | 1360 Caduceus Way, Building 600-suite 101, Watkinsville, GA 30677 | 2020-06-14 |
| 1962033100 | Savannah Baine | Behavior Technician | 1360 Caduceus Way, Watkinsville, GA 30677-7300 | 2020-01-27 |
| 1679945596 | Athens Cardiac Clinic PC | Internal Medicine | 1360 Caduceus Way, Building 600 Suite 105, Watkinsville, GA 30677-7300 | 2015-10-30 |
| 1013384031 | Aoa Hearing Aids | Audiologist | 1360 Caduceus Way, Building 200, Suite 101, Watkinsville, GA 30677-7300 | 2015-08-25 |
| 1518354018 | Women's Imaging Specialists - Athens, LLC | Clinic/Center | 1360 Caduceus Way, Building 400: Suite 101, Watkinsville, GA 30677-7300 | 2015-04-22 |
| 1356732804 | Athens Digestive Endoscopy Center | Clinic/Center | 1360 Caduceus Way, Building 300, Watkinsville, GA 30677-7300 | 2015-02-05 |
| 1538586516 | Yuca, LLC | Pharmacy | 1360 Caduceus Way, Bldg 400 Suite 105, Watkinsville, GA 30677 | 2014-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071478 | Brenda Gerai James | Behavior Technician | 1272 Virgil Langford Rd, Ste 101, Watkinsville, GA 30677 | 2020-10-22 |
| 1881292597 | Chloe Wise | Specialist/Technologist | 360 Caduceus Way Building 600 - Suite 101., Watkinsville, GA 30677 | 2020-10-14 |
| 1912518531 | Samuel S Kwon - Athens Dmd PC | Dentist | 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 | 2020-08-17 |
| 1972131977 | Hopebridge LLC | Behavioral Analyst | 1272 Virgil Langford Road, Suite 101, Watkinsville, GA 30677 | 2020-03-27 |
| 1306479068 | Meggan Brittany Reed | Counselor | 1550 Jennings Mill Rd, Suite 1700b, Watkinsville, GA 30677 | 2020-02-20 |
| 1699322040 | Christopher's Bridge, LLC | In Home Supportive Care | 3651 Mars Hill Rd, Suite 1600, Watkinsville, GA 30677 | 2019-08-21 |
| 1093209538 | Haley Bauguss | Physician Assistant | 1624 Mars Hill Road, Suite B, Watkinsville, GA 30677 | 2018-06-19 |
| 1134618317 | Amanda Burns Denson | Nurse Practitioner | 1181 Langford Drive, Building 300, Suite 104, Watkinsville, GA 30677 | 2018-05-03 |
| 1780105528 | Inspiring Hospice Partners of Georgia LLC | Hospice Care, Community Based | 1252 Virgil Langford Rd, Watkinsville, GA 30677 | 2017-07-01 |
| 1750753182 | Zachary Russell | Orthopaedic Surgery | 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 | 2015-10-26 |
| Find all providers in zip 30677 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053968511 | Gwinnett Nephrology LLC | Internal Medicine | 1567 Janmar Rd Ste 100, Snellville, GA 30078-0308 | 2019-08-20 |
| 1063070654 | Kidney Specialists of Georgia PC | Internal Medicine | 575 Professional Dr Ste 290, Lawrenceville, GA 30046-3347 | 2019-05-30 |
| 1295219103 | Renal Associates of Lagrange LLC | Internal Medicine | 1300 Lafayette Pkwy Ste D, Lagrange, GA 30241-2610 | 2018-09-18 |
| 1912484395 | Atlanta Kidney Care LLC | Internal Medicine | 1462 Montreal Rd Ste 214, Tucker, GA 30084-6931 | 2018-07-27 |
| 1932591948 | Georgia Renal and Hypertension Care Inc | Internal Medicine | 928 S Park St, Suite H, Carrollton, GA 30117-4501 | 2015-02-27 |
| 1316344492 | Oconee Nephrology Associates, Inc. | Internal Medicine | 700 Oglethorpe Ave., Suite B1, Athens, GA 30606 | 2014-12-04 |
| 1134524853 | Sheryl Cababat Caberto | Internal Medicine | 1648 Pierce Dr Ne, Atlanta, GA 30307 | 2014-10-23 |
| 1306265384 | Srikar Kumar | Internal Medicine | 250 Village Center Pkwy Ste 100, Stockbridge, GA 30281-9104 | 2014-04-07 |
| 1477995868 | Moti Samaki | Internal Medicine | 1500 Oglethorpe Ave Ste 500c, Athens, GA 30606-2184 | 2013-07-25 |
| 1902143233 | Barry Jay Rosenbaum | Internal Medicine | 2000 Castleway Dr Ne, Atlanta, GA 30345-3914 | 2013-01-07 |
| Find all providers with the same taxonomy | ||||
| City | WATKINSVILLE |
| Zip Code | 30677 |
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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.