Eric A Pena (NPI# 1093703563, PAC ID# 3678471141) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1093703563 |
| PAC ID by PECOS | 3678471141 |
| Professional Enrollment ID | I20031222000320 |
| Full Name | Eric A Pena |
| Organization Legal Name | ASANTE |
| Address |
2825 E Barnett Rd Medford OR 97504-8332 |
| Phone Number | 5417897000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 0547177321 |
| Number of Group Practice Members | 89 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380018 | ASANTE ROGUE REGIONAL MEDICAL CENTER |
| 380002 | ASANTE THREE RIVERS MEDICAL CENTER |
| 381322 | CURRY GENERAL HOSPITAL |
| 380050 | SKY LAKES MEDICAL CENTER |
| 380005 | ASANTE ASHLAND COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 280 Maple St, Ashland, OR 97520-1552 | 5412014000 | ASANTE ASHLAND COMMUNITY HOSPITAL LLC |
| 500 5th St, Brookings, OR 97415-9702 | 5419307222 | SOUTHERN OREGON CARDIOLOGY LLC |
| 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 5414727000 | ASANTE THREE RIVERS MEDICAL CENTER LLC |
| 2825 E Barnett Rd, Medford, OR 97504-8332 | 5417897000 | ASANTE |
| 520 Medical Ctr Dr, Suite 200, Medford, OR 97504-4314 | 5419307222 | SOUTHERN OREGON CARDIOLOGY LLC |
| Organization Legal Name | ASANTE |
| Physicians | 92 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin E Inger | Emergency Medicine | Asante | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| James M Juarez | Emergency Medicine | Asante | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Andrew T Young | Pulmonary Disease | Asante | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Todd S Kotler | Interventional Cardiology | Asante | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Mark G Moran | Interventional Cardiology | Asante | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Michael F Mccaskill | Emergency Medicine | Asante | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Ashley E Gabrielsen | Anesthesiology | Asante | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Kevin M Kelleher | Emergency Medicine | Asante | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Annette T Batzer | Nurse Practitioner | Asante | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Jaekyoung Audrey Hong | Interventional Cardiology | Asante | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Street Address |
2825 E BARNETT RD |
| City | MEDFORD |
| State | OR |
| Zip | 97504-8332 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin E Inger | Emergency Medicine | Asante | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| James M Juarez | Emergency Medicine | Asante | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Andrew T Young | Pulmonary Disease | Asante | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Todd S Kotler | Interventional Cardiology | Asante | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Mark G Moran | Interventional Cardiology | Asante | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Matthew L Miller | Neurosurgery | Southern Oregon Neurosurgical and Spine Associates, PC | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Michael F Mccaskill | Emergency Medicine | Asante | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Ashley E Gabrielsen | Anesthesiology | Asante | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Daniel Neville | Physician Assistant | Asante Physician Partners | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Matthew Filoon | Nurse Practitioner | Hematology Oncology Associates, P.C. | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Anne Zaslow | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Benjamin Robert Oldson | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Shirley A Malcolm | Osteopathic Manipulative Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Denise M Viss | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Carissa D Scalf | Psychologist, Clinical | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Wesley T Ramoso | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Uzomechine Thabiso Chiedozi | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Grant A Jolliffe | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Travis Adam Day | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Jasmin Williams | Clinical Social Worker | Options for Southern Oregon | 1700 E Barnett Rd, Medford, OR 97504-0052 |
| Find all physicians in zip 97504 | |||
| City | MEDFORD |
| Zip Code | 97504 |
| Specialty | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | MEDFORD + CARDIAC ELECTROPHYSIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.