PEDRO PENA MD NPI 1790784007

NPI Information

NPI: 1790784007
Provider Name: PEDRO PENA, MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

Address:
201 STATE ST
ERIE, PA
ZIP 16550
Phone: (814) 877-6182
Get Directions

Pedro Pena, MD is a vascular and interventional radiology radiology in Erie, PA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Pedro Pena, MD NPI is 1790784007. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

201 STATE ST
ERIE, PA
ZIP 16550-002
Phone: (814) 877-6182
Fax: (814) 877-6149

The enumeration date for this NPI number is 7/19/2005 and was last updated on 5/16/2013.

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	2085R0204X	Radiology	Vascular & Interventional Radiology	MD015257E	PENNSYLVANIA	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	722913	OTHER	PENNSYLVANIA	BLUE SHIELD
2	3369068	OTHER	PENNSYLVANIA	AETNA
3	1521688	OTHER	PENNSYLVANIA	GATEWAY
4	0018379020003	MEDICAID	PENNSYLVANIA
5	00025445602	OTHER	NEW YORK	UNIVERA
6	118180	OTHER	PENNSYLVANIA	UNISON
7	2231365	OTHER	OHIO	OH MEDICAL ASSISTANCE
8	H29665	MEDICARE UPIN
9	044256E7C	MEDICARE PIN	PENNSYLVANIA
10	304576	OTHER	PENNSYLVANIA	UPMC
11	02146761	OTHER	NEW YORK	NY MEDICAL ASSISTANCE
12	1068921	OTHER	WEST VIRGINIA	W. VIRGINIA WORKERS COMP
13	300120916	OTHER	PENNSYLVANIA	RR MEDICARE

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »