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ADHD PLUS NPI 1982322111


NPI Information

NPI: 1982322111
Provider Name: ADHD PLUS

Doing Business As: JERI L PENKAVA MD DBA ADHD PLUS

Classification: Pediatrics - 2080P0006X
Entity Type: Organization

Specialization: Developmental - Behavioral Pediatrics

Address:
1370 PANTHEON WAY STE 250
SAN ANTONIO, TX
ZIP 78232
Phone: (210) 403-2343
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ADHD PLUS is a developmental - behavioral pediatrics pediatrics in San Antonio, TX. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. ADHD PLUS NPI is 1982322111. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jeri L Penkava Md Dba Adhd Plus.

The provider's business location address is:

1370 PANTHEON WAY STE 250
SAN ANTONIO, TX
ZIP 78232-290
Phone: (210) 403-2343
Fax: (210) 403-2350

The provider's authorized official is Jeri L Penkava .
The authorized official title is Sole Proprietor and has the following contact phone number (210) 403-2343.

The enumeration date for this NPI number is 8/15/2022 and was last updated on 3/2/2023.


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
12080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

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
112151709MEDICAIDTEXAS

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: 5/5/2024

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