SAMUEL PENA (NPI# 1396917480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396917480 |
| Entity Type | Individual |
| Full Name | SAMUEL PENA |
| Credential | PA |
| Practice Address |
4302 S Sugar Rd Ste 213 Edinburg TX 78539-9140 |
| Mailing Address |
Po Box 3046 Malvern PA 19355-0746 |
| Practice Telephone | 9563786611 |
| Practice Fax Number | 9563786070 |
| Mailing Telephone | (956) 378-6611 |
| Mailing Fax Number | 9563786070 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2017-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA04603 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 3368243-02 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548617822 | Samuel Pena | Chiropractor | 4416 Ramsgate St Ste 204, San Antonio, TX 78230-1687 | 2016-05-17 |
| Street Address |
4302 S SUGAR RD STE 213 |
| City | EDINBURG |
| State | TX |
| Zip Code | 78539-9140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721782 | Ghizlane Elanbari | Internal Medicine | 502 S. Closner Blvd, Edinburg, TX 78539 | 2020-08-22 |
| 1235751728 | Natalia Cristina Pinto | Student in an Organized Health Care Education/Training Program | 5423 S. Mc Coll Rd, University of Texas Rw Grande Valley - Doctor's Hospita, Edinburg, TX 78539 | 2020-05-07 |
| 1235750092 | Juan Pablo Trejo Pacheco Torres | Student in an Organized Health Care Education/Training Program | 5423 S. Mccoll Rd, Edinburg, TX 78539 | 2020-05-04 |
| 1336775527 | Lifeline Pharmacy 1 LLC | Pharmacy | 2500 W Trenton Road, Suite 12, Edinburg, TX 78539 | 2020-03-19 |
| 1881234045 | Tina Michelle Wisdom | Nurse Practitioner | 5501 Rafael Drive, Edinburg, TX 78539 | 2020-01-15 |
| 1649838178 | Charles Medical Management Services, LLC | Clinical Medical Laboratory | 723 E. University, Edinburg, TX 78539 | 2019-05-30 |
| 1437716289 | Sawyer Lambert | Optometrist | 3804 So. Jackson Road, Suite #4, Edinburg, TX 78539 | 2019-05-28 |
| 1114480837 | Doctors Dermatology and Associates | Dermatology | 2605 W Trenton Rd, Edinburg, TX 78539 | 2019-04-09 |
| 1053872200 | Leonel Vela | Preventive Medicine | Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 | 2019-03-29 |
| 1477025997 | Lee Family Dentistry P.a. | Dentist | 3802 South Business 281, Edinburg, TX 78539 | 2018-12-21 |
| Find all providers in zip 78539 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882683 | Aldrin Charles Sr. | Physician Assistant | 3816 Aspen Dr, Edinburg, TX 78542-4492 | 2020-02-05 |
| 1992296404 | Beatriz Pardo | Physician Assistant | 2715 E Wisconsin Rd, Edinburg, TX 78542-2010 | 2018-05-21 |
| 1376046086 | Quynh Ngoc Diep | Physician Assistant | 4590 S Professional Dr Apt 7301, Edinburg, TX 78539-2419 | 2018-03-09 |
| 1396250650 | Municipal Emergency Medicine Associates, Pa | Physician Assistant | 3615 N. Interstate 69c, Edinburg, TX 78541 | 2017-12-08 |
| 1821519224 | Neyssy Nelly Villarreal | Physician Assistant | 613 Sugar Road, Edinburg, TX 78539 | 2017-07-06 |
| 1881133346 | Loren Rossi | Physician Assistant | 2711 Nessuh Ave, Edinburg, TX 78541-8727 | 2017-02-16 |
| 1801225032 | Andrew Michael Mcneely | Physician Assistant | 300 N 86th Street, Edinburg, TX 78542-1838 | 2013-11-07 |
| 1447525548 | Ray Montes De Oca | Physician Assistant | 613 W Davis Rd, Edinburg, TX 78541-6664 | 2012-03-21 |
| 1598049397 | Ramiro David Tey | Physician Assistant | 804 Russian Ave Apt 18, Edinburg, TX 78541-2769 | 2011-09-28 |
| 1053618082 | Elizabeth Ann Salinas | Physician Assistant | 5520 Leonardo Da Vinci Ste 100, Edinburg, TX 78539-1422 | 2011-02-28 |
| Find all providers in EDINBURG | ||||
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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.