ROBERTO M. PENA, MD PA (NPI# 1598087108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598087108 |
Entity Type | Organization |
Organization Name | ROBERTO M. PENA, MD PA |
Other Organization Name | AUSTIN FAMILY PRACTICE |
Practice Address |
2911 Medical Arts St Building #14 Austin TX 78705-3376 |
Practice Telephone | 5124774693 |
Practice Fax Number | 5124772160 |
Mailing Telephone | 5124774693 |
Mailing Fax Number | 5124772160 |
Enumeration Date | 2010-02-23 |
Last Update Date | 2010-02-24 |
Authorized Official Name | DR. ROBERTO MATTA PENA (CEO) |
Authorized Official Telephone | 5124774693 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | G3051 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | NPI | 1366451759 | 01 |
Other Name | Type Code |
---|---|
Austin Family Practice | Doing Business As Name - Organization |
Street Address |
2911 MEDICAL ARTS ST BUILDING #14 |
City | AUSTIN |
State | TX |
Zip Code | 78705-3376 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134123938 | Sridhar Patlolla Reddy | Specialist | 2911 Medical Arts St, Ste 9, Austin, TX 78705-3302 | 2005-06-09 |
1740800036 | Sheeba Manayampilly Thomas | General Practice | 2911 Medical Arts St, Austin, TX 78705-3376 | 2020-04-16 |
1710301874 | Flora Medical Clinic-pllc | Clinic/Center | 2911 Medical Arts St, Ste #7, Austin, TX 78705-3376 | 2014-02-10 |
1497189120 | Kristi Mckenzie, M.d., P.a. | Obstetrics & Gynecology | 2911 Medical Arts St, Building 6, Austin, TX 78705-3376 | 2013-08-29 |
1881932564 | Lindsay Darlene Ramirez | Registered Nurse | 2911 Medical Arts St, Suite 20, Austin, TX 78705-3376 | 2013-01-30 |
1447598693 | Merrick Mcmains, Md, Pa | Pediatrics | 2911 Medical Arts St, Suite 20, Austin, TX 78705-3376 | 2013-01-23 |
1811257801 | Christie Mileur | Obstetrics & Gynecology | 2911 Medical Arts St, Building 3, Austin, TX 78705-3376 | 2012-05-23 |
1417232570 | Caroline Cohen Pa | Obstetrics & Gynecology | 2911 Medical Arts St, Suite 3, Austin, TX 78705-3376 | 2011-10-19 |
1518245521 | Kimberly Kjome, Md, Pa | Psychiatry & Neurology | 2911 Medical Arts St, Building 7, Austin, TX 78705-3376 | 2011-07-25 |
1215225032 | Yu-han Virginia Hu | Obstetrics & Gynecology | 2911 Medical Arts St, Bldg 3, Austin, TX 78705-3376 | 2011-07-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
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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 |
---|---|---|---|---|
1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
1245847011 | Diane Brewer | Family Medicine | 309 Shant St, Austin, TX 78748-1612 | 2020-09-25 |
1568075265 | Agno Health, LLP | Family Medicine | 2506 South Lamar Blvd, Unit 2, Austin, TX 78704-4731 | 2020-08-24 |
1245853514 | Kaitlin Claire Negandhi Valentine | Family Medicine | 1400 N Ih 35 Ste C2.410, Austin, TX 78701-1926 | 2020-05-21 |
1548899248 | Candice Bethke Escobedo | Family Medicine | 12020 Pepperidge Dr, Austin, TX 78739-1948 | 2020-04-04 |
1184257123 | Aegis Health Services LLC | Family Medicine | 3005 S Lamar Blvd Ste D109-245, Austin, TX 78704-8864 | 2020-02-18 |
1285274100 | Mw Wellness Iv, LLC | Family Medicine | 13359 N Highway 183 Ste 403, Austin, TX 78750-7154 | 2020-01-08 |
1578112207 | Heather Lenz | Family Medicine | 6633 E Highway 290 Ste 300, Austin, TX 78723-1158 | 2019-09-05 |
1245887355 | Jonathan Thomas Mason | Family Medicine | 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 | 2019-08-22 |
1609421247 | Maycare, Pllc | Family Medicine | 6911 Ranch Road 620 N Ste A-300, Austin, TX 78732-1920 | 2019-08-08 |
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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.