Jaime Pena, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G5471 Issued in TX

Practice address

7121 Spid
Suite 302
Corpus Christi, TX 78412

Phone

(361) 851-5000

Fax

(361) 851-0590

NPI assigned

Feb 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jpena@ccwc.directbygreenway.com

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1386617041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 SPID",
            "address_2": "SUITE 302",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78412",
            "telephone_number": "361-851-5000",
            "fax_number": "361-851-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 SPID",
            "address_2": "SUITE 302",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78412",
            "telephone_number": "361-851-5000",
            "fax_number": "361-851-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "JAIME",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "G5471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115238101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristal Marie Pena, FNP-C
• Crystal Marie Pena, NP
• Diana Marisol Pena, PHARMD
• Emily Pena
• Heather Pena, FNP-C
• Jennifer Renee Pena
• Kristina Pena, LVN
• Shelby Pena
• Stefanie L Pena, RN
• Juan J Penaflor

• Obstetrics & Gynecology Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.