Roehl T Pena MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9935 Issued in NV

Legal business name

ROEHL T PENA MD

Practice address

7280 Azure Dr
Suite 130
Las Vegas, NV 89130-4402

Phone

(702) 309-3360

NPI assigned

Sep 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Irene Pena

Title

RN

Phone

(702) 309-3360

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roehl Pena, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1770520306
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1194910265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7280 AZURE DR",
            "address_2": "SUITE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304402",
            "telephone_number": "702-309-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 AZURE DR",
            "address_2": "SUITE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304402",
            "telephone_number": "702-309-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROEHL T PENA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "702-309-3360"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "9935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Roe
• Lisa Harriett Roe, BA MA
• Tammy Denise Roe, PA - C
• Rhyasin John Roebuck
• Lusine Roeder
• Casey Allan Roehr
• Taylor Ashly Roehr
• Ariel Roes
• Nadia Roese
• James Arthur Roets

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.