DR. EMMANUEL PENA D.O.
NPI 1063701274
Pediatrics - Child Abuse Pediatrics in Jacksonville, FL
NPI Status: Active since March 29, 2011
Contact Information
841 PRUDENTIAL DR
SUITE 1130
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 603-4199
Fax: (904) 633-4188
- Individual
- Male
- Pediatrics
- Child Abuse Pediatrics
- Accepts Insurance
About EMMANUEL PENA
This page provides the complete NPI Profile along with additional information for Emmanuel Pena, a pediatrician established in Jacksonville, Florida with a medical specialization in Pediatrics, focusing in child abuse pediatrics . The healthcare provider is registered in the NPI registry with number 1063701274 assigned on March 2011. The practitioner's primary taxonomy code is 2080C0008X with license number 80622 (GA). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1063701274
- Provider Name
- DR. EMMANUEL PENA D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 841 PRUDENTIAL DR SUITE 1130 JACKSONVILLE, FL 32207
- Location Phone
- (904) 603-4199
- Location Fax
- (904) 633-4188
- Mailing Address
- 841 PRUDENTIAL DR SUITE 1130 JACKSONVILLE, FL 32207
- Mailing Phone
- (904) 603-4199
- Mailing Fax
- (904) 633-4188
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-29-2011
- Last Update Date
- 06-07-2018
- Code Navigator
A pediatrician like Emmanuel Pena is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
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 Child Abuse Pediatrics
- Taxonomy Code
- 2080C0008X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 80622
- License State
- GA
- Taxonomy Description
- A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.
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 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 11096A (GA) |
| 2 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 11096A (WY) |
| 3 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | OS12734 (FL) |
| 4 | 2080C0008X | Allopathic & Osteopathic Physicians | Pediatrics | OS12734 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AvMed Entrust Bronze 600 (2026) - HMO
- AvMed Entrust Bronze 650 (2026) - HMO
- AvMed Entrust Expanded Bronze Standard (2026) - HMO
- AvMed Entrust Gold 125 (2026) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2026) - HMO
- AvMed Entrust Gold Standard (2026) - HMO
- AvMed Entrust Platinum 25 (2026) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2026) - HMO
- AvMed Entrust Platinum Standard (2026) - HMO
- AvMed Entrust Silver 350 (2026) - HMO
- AvMed Entrust Silver 350 Dental+Vision (2026) - HMO
- AvMed Entrust Silver 550 (2026) - HMO
- AvMed Entrust Silver 550 Dental+Vision (2026) - HMO
- AvMed Entrust Silver Standard (2026) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063701274, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063701274, enumerated as an "individual" on March 29, 2011.
The provider is located at 841 PRUDENTIAL DR SUITE 1130 JACKSONVILLE, FL 32207 and the phone number is (904) 603-4199.
Pediatrics with taxonomy code 2080C0008X and a focus in Child Abuse Pediatrics.
The provider might be accepting Accepts: AvMed. Please consult your insurance carrier or call the provider to verify.
