DR. EDWARD PENA PEREZ (NPI# 1881755650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881755650 |
| Entity Type | Individual |
| Full Name | DR. EDWARD PENA PEREZ |
| Credential | MD PHD |
| Practice Address |
1999 Medical Pkwy Ste A San Marcos TX 78666-7579 |
| Practice Telephone | 5123921411 |
| Practice Fax Number | 5123921422 |
| Mailing Telephone | 5123921411 |
| Mailing Fax Number | 5123921422 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | L7107 | TX | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
A63248 | CA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
L7107 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21212 Northwest Fwy Ste 335, Cypress, TX 774295886 | 7137711100 | 7137711545 |
| 21800 Katy Fwy Ste 200, Katy, TX 774497780 | 7137711100 | 7137711545 |
| 2545 W Hammer Ln, Stockton, CA 952092839 | 2099573821 | |
| 559 Abbott St Ste A, Salinas, CA 939014325 | 8317571007 | 8317570352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992280358 | Edward A Perez | Chiropractor | 510 Plaza Constancia, Suite 104, Hormigueros, PR 00660 | 2018-10-01 |
| 1174763270 | Edward Perez | Occupational Therapist | 25 Belmont Pl, Staten Island, NY 10301-1709 | 2009-03-02 |
| 1457348153 | Edward A Perez | Orthopaedic Surgery | 1601 S Andrews Ave Fl 2, Ft Lauderdale, FL 33316 | 2005-09-29 |
| 1922627934 | Edward Theodore Perez | Student in an Organized Health Care Education/Training Program | 301 E Main St, Bay Shore, NY 11706-8458 | 2020-04-09 |
| 1558905935 | Edward Gregory Perez | Counselor | 3103 West Ave, San Antonio, TX 78213-4535 | 2019-10-29 |
| 1881040012 | Edward Perez | Nurse Practitioner | 180 Fort Washington Ave, Hp 6 Floor, New York, NY 10032-3722 | 2016-05-06 |
| 1629310859 | Edward Perez | Behavioral Analyst | 3225 Mcleod Dr Ste 100, Las Vegas, NV 89121-2257 | 2013-03-26 |
| 1336386556 | Edward Perez | Pathology | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2009-01-09 |
| Street Address |
1999 MEDICAL PKWY STE A |
| City | SAN MARCOS |
| State | TX |
| Zip Code | 78666-7579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656198 | Jodie Lynn Stauffer | Social Worker | 2497 Fm 1979, San Marcos, TX 78666 | 2020-10-14 |
| 1619590965 | Ann Mary Carney | Occupational Therapist | 302 Riverside Dr, San Marcos, TX 78666 | 2020-05-21 |
| 1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
| 1174157101 | Chase Joseph Gibson | Specialist/Technologist | 616 N Lbj Dr, Beretta Hall 401, San Marcos, TX 78666 | 2020-02-28 |
| 1548800782 | Emily Granger | Specialist/Technologist | 106 Charles Austin Dr, San Marcos, TX 78666 | 2020-01-15 |
| 1689138562 | Joseph Richard Lednicky | Specialist/Technologist | 700 Aquarena Springs Drive, San Marcos, TX 78666 | 2019-01-25 |
| 1376007336 | Viktoria Guerrero | Specialist/Technologist | Jowers Access Rd, San Marcos, TX 78666 | 2019-01-24 |
| 1336611771 | Joan Marie Wood | Occupational Therapist | Cole Pediatric Therapy, 101 Uhland Rd, San Marcos, TX 78666 | 2018-12-26 |
| 1851861496 | Kingfisher Health LLC | Home Health | 125 Mccarty Lane, San Marcos, TX 78666 | 2018-11-27 |
| 1669954723 | Christopher Macha | Student in an Organized Health Care Education/Training Program | 1 Jowers Access Road, San Marcos, TX 78666 | 2018-09-05 |
| Find all providers in zip 78666 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578763876 | Dermatology Specialists Inc | Dermatology | 838 Nordahl Rd, #250, San Marcos, CA 92069-3595 | 2007-07-24 |
| 1124123138 | Ana L. Rodriguez | Dermatology | 1605 Redwood Rd, San Marcos, TX 78666-9734 | 2006-09-14 |
| 1578666509 | Dori N. Rausch-rafii | Dermatology | 400 Craven Rd, San Marcos, CA 92078-4201 | 2006-09-06 |
| 1497704381 | Irene J. Buno-brion | Dermatology | 400 Craven Rd, San Marcos, CA 92078-4201 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030456 | Andrew M. Quinn IIi, Md Pllc | Dermatology | 4110 Bellaire Blvd Ste 202, Houston, TX 77025-1057 | 2020-10-11 |
| 1639786999 | Carolyn Huyen Trieu | Dermatology | 7700 San Felipe St Ste 492, Houston, TX 77063-1630 | 2020-09-29 |
| 1366057861 | Young E Martin | Dermatology | 910 W Parker Rd Ste 210, Plano, TX 75075-2361 | 2020-09-11 |
| 1700498136 | Optimal Health and Skin LLC | Dermatology | 4701 Old Shepard Pl Ste 260, Plano, TX 75093-5250 | 2020-08-18 |
| 1962023077 | Bluebonnet Dermatology, Pllc | Dermatology | 935 W Exchange Parkway, Building B, Suite 130, Allen, TX 75013-7075 | 2020-04-29 |
| 1205461019 | Affinity Dermatology Pllc | Dermatology | 13052 Dallas Parkway Suite 520, Frisco, TX 75033 | 2020-03-12 |
| 1518506054 | Duong Thuy Nguyen | Dermatology | 1134 Globe St, Houston, TX 77034-1109 | 2020-01-01 |
| 1558904953 | Lorin Brittney Anderson | Dermatology | 5928 Chisholm Trl, Mckinney, TX 75070-6464 | 2019-10-18 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
| City | SAN MARCOS |
| Zip Code | 78666 |
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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.