JERSON PENAFLOR – NPI #1588521413
Specialist/Technologist, Pathology

JERSON PENAFLOR is a technologist located in SHATTUCK, OK. NPPES has assigned the NPI number 1588521413 to JERSON PENAFLOR on January 05, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246QM0706X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Pathology, specializing in Medical Technologist

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 JERSON PENAFLOR below.

NPI Profile for
JERSON PENAFLOR

NPI Number
1588521413
Enumeration Date

(about 5 months ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JERSON PENAFLOR
Primary location
905 S MAIN ST
SHATTUCK, OK 73858-9205
Phone: (580) 938-5518 Fax: (580) 938-5335
Mailing address
1118 S SUMMER ST
SHATTUCK, OK 73858-9424
Phone: (580) 216-5036 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jan 05, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
246QM0706X
- Specialist/Technologist, Pathology / Medical Technologist (Primary)

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.