LEA BONIFACIO PENALES MD
NPI 1003809211
Pediatrics, Neonatal-perinatal Medicine in Shreveport,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 24, 2005

Contact Information

1202 Louisiana Ave
Shreveport,
Post Code: 71101
Phone: (318) 212-8946
Fax: (318) 212-4153

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Lea Bonifacio Penales Md in Shreveport - Pediatrics, Neonatal-Perinatal Medicine

Lea Bonifacio Penales Md is a Pediatrics, Neonatal-Perinatal Medicine in Shreveport, . Lea Bonifacio Penales Md practices all healthcare services and medical treatments related to Pediatrics, Neonatal-Perinatal Medicine. The NPI Number for Lea Bonifacio Penales Md is 1003809211. The last update date is 2015-12-07.

Lea Bonifacio Penales Md's current location address is 1202 Louisiana Ave, Shreveport, . You can contact this provider via phone number (318) 212-8946 and fax number (318) 212-4153. The mailing address for Lea Bonifacio Penales Md is 1202 Louisiana Ave, Shreveport, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003809211
Provider Name
LEA BONIFACIO PENALES MD
Gender
Female
Entity Type
Individual
Location Address
1202 Louisiana Ave, Shreveport,
Location Phone
(318) 212-8946
Location Fax
(318) 212-4153
Mailing Address
2520 Bert Kouns Loop, Shreveport, Louisiana(LA)
Mailing Phone
318-212-5970
Mailing Fax
318-212-5975
Enumeration Date
2005-08-24
Last Update Date
2015-12-07
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics, Neonatal-Perinatal Medicine

Taxonomy Code
2080N0001X
Type
-
License No.
203321
License State
Louisiana (LA)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 2080N0001X Neonatal-Perinatal Medicine Physician

Pediatrics, Neonatal-Perinatal Medicine

4301084897 (Michigan)
2 2080N0001X Neonatal-Perinatal Medicine Physician

Pediatrics, Neonatal-Perinatal Medicine

MA73968 (New Jersey)
3 2080N0001X Neonatal-Perinatal Medicine Physician

Pediatrics, Neonatal-Perinatal Medicine

40150 (Connecticut)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1816680 MEDICAID (05) Louisiana (LA)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003809211
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20031601822
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20031601822
2 + 0 + 0 + 3 + 1 + 6 + 0 + 1 + 8 + 2 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 1 1

The NPI number 1003809211 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003808700 SHARON K TOMBERLIN
Individual
Pathology, Anatomic Pathology & Clinical Pathology PO BOX 15239
BATON ROUGE, Louisiana (LA)
800-287-7462
1003808569 JAMES E HARPER
Individual
Nurse Practitioner 1500 LINE AVENUE
SHREVEPORT, Louisiana (LA)
318-629-5001
1003808346 CARMEN ELIZABETH JOHNSON
Individual
Pediatrics 3975 I 49 S SERVICE RD
OPELOUSAS, Louisiana (LA)
337-407-2795
1003808247 DAVID JAMES BARES
Individual
Pharmacist 102 FERN HOLW
YOUNGSVILLE, Louisiana (LA)
337-857-8703
1003808155 BRIAN CLINIC, L.L.P.
BRIAN CLINIC
Organization
Family Medicine 425 SCOTT ST
ALEXANDRIA, Louisiana (LA)
318-445-7355