DR. MICHAEL R PENA (NPI# 1366732604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366732604 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL R PENA |
| Credential | M.D. PHD |
| Practice Address |
1600 N Main Ave Lovington NM 88260-2830 |
| Practice Telephone | 5753966611 |
| Practice Fax Number | 5753964547 |
| Mailing Telephone | 5753966611 |
| Mailing Fax Number | 5753964547 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD2017-0882 | NM | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 8607 | SD | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD443240 | PA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 26460 | NE | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 S Byron Blvd, Chamberlain, SD 573259741 | 6052346551 | 6052347260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235329913 | Michael Angelo Pena | Marriage & Family Therapist | 40 Southlite Cir, Sacramento, CA 95831-2135 | 2007-07-27 |
| 1558616250 | Michael Anthony Pena | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2012-07-18 |
| 1093964074 | Michael Andrew Pena | Social Worker | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2008-09-15 |
| Street Address |
1600 N MAIN AVE |
| City | LOVINGTON |
| State | NM |
| Zip Code | 88260-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114924008 | Shannon Michelle Allen | Nurse Anesthetist, Certified Registered | 1600 N Main Ave, Lovington, NM 88260 | 2005-07-07 |
| 1811503303 | Megan Deanne Chavarria | Nurse Practitioner | 1600 N Main Ave, Lovington, NM 88260-2871 | 2020-09-20 |
| 1518587948 | Mary Victoria Cansino | Speech-Language Pathologist | 1600 N Main Ave, Lovington, NM 88260-2813 | 2020-04-27 |
| 1902449820 | Francisco Alonzo Espino | Nurse Practitioner | 1600 N Main Ave, Lovington, NM 88260-2830 | 2019-10-23 |
| 1306303326 | Zarah Mae Cortez | Physical Therapist | 1600 N Main Ave, Lovington, NM 88260-2830 | 2019-02-26 |
| 1285136119 | Lugene M Twiggs | Social Worker | 1600 N Main Ave, Lovington, NM 88260-2830 | 2018-03-07 |
| 1437650934 | Sandra Lizet Orozco | Physician Assistant | 1600 N Main Ave, Lovington, NM 88260-2830 | 2018-02-21 |
| 1457865677 | Matthew Bruns Berilla | Physician Assistant | 1600 N Main Ave, Lovington, NM 88260 | 2017-11-27 |
| 1841714300 | Brandi Lynnette Tedder | Nurse Practitioner | 1600 N Main Ave, Lovington, NM 88260-2830 | 2017-07-26 |
| 1255882718 | Jacqueline Marinovich | Nurse Practitioner | 1600 N Main Ave, Lovington, NM 88260-2830 | 2016-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548761034 | Debra Mauldin | Registered Nurse | 18 West Washington, Lovington, NM 88260 | 2018-02-21 |
| 1790283786 | Brenda D'ann Perry | Registered Nurse | 700 W Jefferson, Lovington, NM 88260 | 2018-01-25 |
| 1114433513 | Rebecca Madrid | Registered Nurse | 11 Ano 1000 S Main St, Lovington, NM 88260 | 2017-12-20 |
| 1588177414 | Kimberly Kay Reeder | Registered Nurse | 1400 S. 6th St, Lovington, NM 88260 | 2017-11-14 |
| 1508379439 | Jessica Fitzgerald | Registered Nurse | 1202 W Birch Ave, Lovington, NM 88260 | 2017-11-14 |
| 1245760362 | Dyesebel Morales Solis | Physical Therapist | 1600 N. Main Street, Nor-lea Hospital District, Lovington, NM 88260 | 2017-06-13 |
| 1962949172 | Especializados En Servicios Medicos Quirurgicos Sa De Cv | General Acute Care Hospital | A. Obregon 3256 Col. Jardin, Nuevo Laredo, TAMAULIPAS 88260 | 2017-01-25 |
| 1205386992 | Graciela Urbina | Dentist | O Campo 3147, Nvo Laredo, TAMPS 88260 | 2016-10-06 |
| 1710294913 | Lindsey Anitra Broom | Speech-Language Pathologist | 1300 W. Dogwood, Lovington, NM 88260 | 2010-09-09 |
| 1003129545 | Rosalinda Barraza | Occupational Therapist | 18 W Washington, Lovington, NM 88260 | 2010-07-26 |
| Find all providers in zip 88260 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639377005 | Ronald D Hopkins, D.o., PC | Family Medicine | 1600a North Main, Lovington, NM 88260 | 2007-07-06 |
| 1184821050 | Michael Ryan Esmay | Family Medicine | Nor-lea Hospital District, 1600 North Main, Lovington, NM 88260-2830 | 2007-07-02 |
| 1386864692 | Walter Flores | Family Medicine | 828 W Jackson Ave, Lovington, NM 88260-3302 | 2007-04-27 |
| 1376586024 | Kurt M Dearnbarger | Family Medicine | 222 South Railroad St., Lovington, IL 61937-0320 | 2006-06-13 |
| 1790769693 | Robert Edwin Smith | Family Medicine | 518 S 11th St, Lovington, NM 88260-4517 | 2005-12-05 |
| 1144603408 | Marco Maldonado | Family Medicine | 1600 N Main Ave, Lovington, NM 88260 | 2015-07-06 |
| 1093133050 | Ariel Joy Scott | Family Medicine | 1600 N Main Ave, Lovington, NM 88260-2830 | 2014-04-06 |
| 1376961888 | Jimmy Crumbacher | Family Medicine | 1600 North Main, Lovington, NM 88260-2830 | 2014-04-01 |
| 1841631579 | Susan Marie Overkamp | Family Medicine | 1600 North Main, Lovington, NM 88260-2830 | 2013-07-10 |
| 1336494434 | Naveen Kumar Sarakanti | Family Medicine | 1600 North Main, Lovington, NM 88260-2830 | 2012-07-16 |
| Find all providers in LOVINGTON | ||||
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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.