LESLIE MARIE PENA (NPI# 1902924897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902924897 |
| Entity Type | Individual |
| Full Name | LESLIE MARIE PENA |
| Credential | PA-C |
| Practice Address |
3360 Burns Rd Palm Beach Gardens FL 33410 |
| Mailing Address |
3360 Burns Rd Palm Beach Gardens FL 33410-4323 |
| Practice Telephone | 5615146615 |
| Practice Fax Number | 5616255093 |
| Mailing Telephone | 5615146615 |
| Mailing Fax Number | 5616255093 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9103630 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
010926 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 177 Fort Washington Ave, Nyp Cumc Mhb 7gn 435, New York, NY 100323733 | 2123050585 | |
| 3375 Burns Rd Ste 101, Palm Beach Gardens, FL 334104360 | 5616223618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215543665 | Leslie Ednis Pena | Specialist/Technologist | 1005 E 10th St Ste A, Weslaco, TX 78596-5133 | 2020-09-21 |
| Street Address |
3360 BURNS RD |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508857426 | Samer Jundi | Internal Medicine | 3360 Burns Rd, Palm Beach Gardens, FL 33410-4323 | 2005-10-31 |
| 1376179713 | Tetiana Rodov | Nurse Practitioner | 3360 Burns Rd, Palm Beach Gardens, FL 33410-4323 | 2020-03-17 |
| 1780168294 | Kathryn Margaret Kearney | Physician Assistant | 3360 Burns Rd, Palm Beach Gardens, FL 33410-4323 | 2018-09-20 |
| 1851888606 | Phyu Phyu Zaw | Nurse Anesthetist, Certified Registered | 3360 Burns Rd, Palm Beach Gardens, FL 33410-4323 | 2018-04-17 |
| 1164931564 | Amy Laurel Lowenthal | Pharmacist | 3360 Burns Rd, Palm Beach Gardens, FL 33410-4323 | 2017-09-28 |
| 1043735574 | Mark W Chiampou | Nurse Anesthetist, Certified Registered | 3360 Burns Rd, Palm Beach Gardens, FL 33410-4323 | 2017-08-05 |
| 1255872404 | Samsadeen Alhaji Issah | Nurse Anesthetist, Certified Registered | 3360 Burns Rd, Palm Beach Gardens, FL 33410-4323 | 2017-03-20 |
| 1205370491 | Erol Ivannia Brenes | Nurse Anesthetist, Certified Registered | 3360 Burns Rd, Palm Beach Gardens, FL 33410-4323 | 2016-12-07 |
| 1821532177 | Henadz Barysau | Nurse Anesthetist, Certified Registered | 3360 Burns Rd, Palm Beach Gardens, FL 33410-4323 | 2016-12-06 |
| 1104379817 | Best Hms, LLC | Internal Medicine | 3360 Burns Rd, Palm Beach Gardens, FL 33410-4323 | 2016-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609029305 | Christina Hobgood Naugle | Physician Assistant | 5540 Pga Blvd Ste 200, Palm Beach Gardens, FL 33418-3987 | 2008-10-28 |
| 1649749367 | Brittney Roberts | Physician Assistant | 4215 Burns Rd Ste 200, Palm Beach Gardens, FL 33410-4625 | 2018-11-26 |
| 1376084145 | Tiffany B O'connor | Physician Assistant | 900 Village Square Xing, Suite 170, Palm Beach Gardens, FL 33410-4547 | 2017-03-14 |
| 1811392616 | Ashley Sconzo | Physician Assistant | 3360 Burns Rd, Palm Beach Gardens, FL 33410-4323 | 2014-10-23 |
| 1326461617 | Briannon Bebble | Physician Assistant | 3401 Pga Blvd, Suite 500, Palm Beach Gardens, FL 33410-2825 | 2014-01-23 |
| 1598047532 | Christopher C Pociask | Physician Assistant | 4215 Burns Road, Suite 100, Palm Beach Gardens, FL 33410-4627 | 2011-09-15 |
| 1558663526 | Michael Ryan Brown | Physician Assistant | 3401 Pga Blvd, Suite 500, Palm Beach Gardens, FL 33410-2823 | 2010-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
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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.