OMAR J PENA LOPEZ MD PA (NPI# 1871859744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871859744 |
| Entity Type | Organization |
| Organization Name | OMAR J PENA LOPEZ MD PA |
| Practice Address |
200 W. Edinburg Hwy 107 Elsa TX 78543 |
| Mailing Address |
1403 Carnelian Dr Weslaco TX 78596-4388 |
| Practice Telephone | 9562629805 |
| Practice Fax Number | 9569718102 |
| Mailing Telephone | 9569718100 |
| Mailing Fax Number | 9569718102 |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |
| Authorized Official Name | DR. OMAR J PENA LOPEZ (OWNER) |
| Authorized Official Telephone | 9569718100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | N1058 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 154255701 | 05 | |
| TX | NPI INDIVIDUAL | 1619149762 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134496474 | Omar J Pena Lopez Md Pa | Pediatrics | 1403 Carnelian Dr, Weslaco, TX 78596-4388 | 2011-11-30 |
| Street Address |
200 W. EDINBURG HWY 107 |
| City | ELSA |
| State | TX |
| Zip Code | 78543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881834539 | Iris Well Child Physicals | Clinical Nurse Specialist | 200 W. Edinburg Hwy 107, Suite B, Elsa, TX 78543-1274 | 2009-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133092 | Elizabeth Angela Garcia | Pharmacist | 411 South Broadway St, Elsa, TX 78543 | 2020-10-30 |
| 1558975920 | Samantha Jo Perales | Pharmacist | 411 S Broadway St, Elsa, TX 78543 | 2020-09-03 |
| 1265042089 | Top Source Transport, Inc. | Private Vehicle | 523 W Edinburg Ave., Ste. 1, Elsa, TX 78543 | 2020-08-06 |
| 1093290538 | Tovar Community Home Care LLC | Technician | 204 E Edinburg Ave, Ste 2, Elsa, TX 78543 | 2018-10-01 |
| 1528560539 | Amor Y Esperanza Dme LLC | Durable Medical Equipment & Medical Supplies | 517 E. Edinburg Avenue Suite C, Elsa, TX 78543 | 2018-03-06 |
| 1104336809 | Georgina Tober | Licensed Vocational Nurse | 702 Ricky Cross, Elsa, TX 78543 | 2017-10-07 |
| 1144740952 | Performance Therapeutics - Elsa Pllc | Clinic/Center | 720 E. Edinburg Avenue, Suite 1009, Elsa, TX 78543 | 2017-06-22 |
| 1730629726 | Eleanor Cortez | Pharmacist | 512 E Edinburg, Elsa, TX 78543 | 2017-02-24 |
| 1700239209 | Roma Health Care LLC | Case Management | 720 E Edinburg Ave., Suite 1008, Elsa, TX 78543 | 2016-07-20 |
| 1104200476 | Gerie Perez | Nurse Practitioner | 119 Retama St, Elsa, TX 78543 | 2015-07-16 |
| Find all providers in zip 78543 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619149762 | Omar Jose Pena Lopez | Pediatrics | 410 South Broadway, Elsa, TX 78543-0000 | 2008-03-28 |
| 1104461037 | Maria J Perez | Pediatrics | 410 S. Broadway, Elsa, TX 78543 | 2019-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366635 | Colleen Jaurequi | Pediatrics | 309 Shepards Hill Dr, Rockwall, TX 75087-2850 | 2020-11-05 |
| 1114526050 | 915 Pediatrics Pllc | Pediatrics | 3261 Joe Battle Blvd, El Paso, TX 79936-1156 | 2020-10-21 |
| 1114525532 | Springs Pediatrics Associates Pllc | Pediatrics | 201 Oak Dr S Ste 202, Lake Jackson, TX 77566-5627 | 2020-10-16 |
| 1619575487 | Sreebhavi Professional Corporation | Pediatrics | 340 Hawkins Run Rd, Midlothian, TX 76065-6638 | 2020-10-14 |
| 1588262695 | Buttercup Pediatrics Pllc | Pediatrics | 27524 Westridge Creek Ln Ste D, Katy, TX 77494-5290 | 2020-10-12 |
| 1851908131 | Cesar A Ortega Md Pa | Pediatrics | 3309 Orlando St, Houston, TX 77093-4854 | 2020-09-30 |
| 1992310973 | Fernando Castaneda Md Pa | Pediatrics | 4151 Jaime Zapata Hwy Suite 102, Laredo, TX 78043 | 2020-09-15 |
| 1497368591 | Tch Pediatrics Inc | Pediatrics | 4207 James Casey St Ste 111, Austin, TX 78745-3362 | 2020-08-28 |
| 1356951735 | Central Texas Diabetes & Wellness Institute | Pediatrics | 8428 Bandera Rd Ste 2, San Antonio, TX 78250-2514 | 2020-07-31 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
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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.