JORGE ISAAC PENA GARCIA (NPI# 1912387259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912387259 |
| Entity Type | Individual |
| Full Name | JORGE ISAAC PENA GARCIA |
| Credential | M.D. |
| Practice Address |
5665 Peachtree Dunwoody Rd Atlanta GA 30342-1764 |
| Mailing Address |
3737 Peacock Ave Apt 521 Miami FL 33146-2868 |
| Practice Telephone | 4047787777 |
| Mailing Telephone | 3142505394 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
82533 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5665 PEACHTREE DUNWOODY RD |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739376 | Joel John Varghese | Registered Nurse | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2020-10-28 |
| 1942810130 | Alexander Douglas Yox | Anesthesiologist Assistant | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2020-08-03 |
| 1265056352 | Julie Thi Quach | Nurse Practitioner | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2020-06-03 |
| 1245866276 | Alyssa Broadwater | Physician Assistant | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2020-03-21 |
| 1104462571 | Amanda Dostie | Registered Nurse | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2019-11-20 |
| 1164067112 | Eltayeb Mohamed Ahmed | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2019-11-14 |
| 1104468826 | Leanna Nicole Hutto | Registered Nurse | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2019-10-14 |
| 1083255376 | Katelyn Lott | Nurse Practitioner | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2019-10-08 |
| 1033750278 | Marjorie Marilyn White | Nurse Practitioner | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2019-09-29 |
| 1144872789 | Jeannie Stamps Aldridge | Anesthesiologist Assistant | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2019-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710545553 | Palcare Health LLC | Internal Medicine | 1315 Merry Ln Ne, Atlanta, GA 30329-3903 | 2019-06-05 |
| 1518334200 | Miguel E Stubbs M D P C | Internal Medicine | 230 Beaver Falls Pl Sw, Atlanta, GA 30331-8326 | 2015-08-28 |
| 1952557977 | Diego Hernando Remolina | Internal Medicine | 49 Jesse Hill Jr Dr Se Rm 471, Atlanta, GA 30303 | 2008-08-11 |
| 1437261617 | R. Elliott Jackson Geriatrics,llc | Internal Medicine | 2650 Weigelia Rd Ne, Atlanta, GA 30345-3969 | 2006-08-31 |
| 1649382060 | Mounir Darradji | Internal Medicine | 1019 Winding Ridge Ct, Atlanta, GA 30338-3949 | 2006-08-31 |
| 1053345025 | Cooper Medical Associates LLC | Internal Medicine | 448 Ralph David Abernathy Blvd Sw, #2, Atlanta, GA 30312-2404 | 2006-07-10 |
| 1760425623 | Kieran Alexander Cooper | Internal Medicine | 448 Ralph David Abernathy Swblvd Sw2, Atlanta, GA 30312-2404 | 2006-06-14 |
| 1437141389 | Abraham A Oyewo | Internal Medicine | 80 Jessie Hill, Grady Health System, Atlanta, GA 30303 | 2005-08-17 |
| 1881064467 | Geps Physician Group of Georgia PC | Internal Medicine | 2850 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2015-09-25 |
| 1528455458 | Monica Denice Gavaller | Internal Medicine | 720 Westview Dr Sw, Atlanta, GA 30310-1458 | 2015-04-17 |
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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.