Gerard Francis Pena, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

016673 Issued in LA

Practice address

1850 Gause Blvd E
Ste. 301
Slidell, LA 70461-5442

Phone

(985) 646-4400

Fax

(985) 646-4408

NPI assigned

Oct 26, 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 2

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Slidell Ear, Nose and Throat Associaties, PMC

  • Otolaryngology Physician
  • Slidell, LA
  • NPI 1730264839
  NPD
• Ochsner Pharmacy and Wellness, LLC

  • Clinic Pharmacy
  • New Orleans, LA
  • NPI 1518073824
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1912082009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 GAUSE BLVD E",
            "address_2": "STE. 301",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615442",
            "telephone_number": "985-646-4400",
            "fax_number": "985-646-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 GAUSE BLVD E",
            "address_2": "STE. 301",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615442",
            "telephone_number": "985-646-4400",
            "fax_number": "985-646-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "GERARD",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "016673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1345181",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040003773",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pelican Physician Services, LLC
• Pelican State Physical Therapy Limited Partnership
• Pelican State Physical Therapy Limited Partnership
• Jolyn Pelous, NP
• Pelvic Harmony PT
• Katherine Lee Penton, CPSS
• Joel E Perdomo, M.D.
• Kimberlie Perez, LPC
• Perfect Imperfections Health & Home Care
• Perfect Imperfections Health & Home Care LLC

• Otolaryngology Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Otolaryngology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.