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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
G4242 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | PTAN | 347259 | 01 |
TX | 121517009 | 05 |
Street Address |
1370 PANTHEON WAY STE 250 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78232-2290 |
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 |
Find all providers in zip 78232 |
Taxonomy Code | 2080P0006X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Developmental – Behavioral Pediatrics |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | SAN ANTONIO |
Zip Code | 78232 |
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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.