JAIME PENIX MD NPI 1760597025

NPI Information

NPI: 1760597025
Provider Name: JAIME PENIX, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Organization: MERCY CLINIC JOPLIN LLC

PECOS Registration: Yes

Address:
3001 WEST MARTIN LUTHER KING JR BLVD
TAMPA, FL
ZIP 33607
Phone: (813) 870-4933
Get Directions

Jaime Penix, MD is a nephrology internal medicine in Tampa, FL with 23 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Jaime Penix, MD NPI is 1760597025. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year:2001

The provider's business location address is:

3001 WEST MARTIN LUTHER KING JR BLVD
TAMPA, FL
ZIP 33607
Phone: (813) 870-4933
Fax: (813) 870-4887

The NPI 1760597025 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 6/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		ME0096543	FLORIDA	No
2	207RN0300X	Internal Medicine	Nephrology	ME96543	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U8201Y	MEDICARE PIN	FLORIDA
2	277156000	MEDICAID	FLORIDA
3	U8201X	MEDICARE PIN
4	56664	OTHER	FLORIDA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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