JOSE C. DE LA PENA MD – NPI #1154391977
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

JOSE DE LA PENA is a physician located in MILLINGTON, TN. NPPES has assigned the NPI number 1154391977 to JOSE DE LA PENA on January 24, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOSE DE LA PENA below.

NPI Profile for
JOSE C. DE LA PENA

NPI Number
1154391977
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOSE C. DE LA PENA
Credentials
MD
Primary location
5722 INTERGRITY DR.
BLGD S771 (NBHC MIDSOUTH
MILLINGTON, TN 38054
Phone: (901) 874-6143 Fax:
1 Other location(s):
Naval Hospital Cherry Point
4389 Beaufort Rd.
Cherry Point, NC 28533
Phone: (252) 466-0182
Mailing address
4566 NOB HILL DR.
ARLINGTON, TN 38002-5150
Phone: (901) 249-7356 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
TN 00053436

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.