Provider Demographics
NPI:1316196538
Name:PENA, RHONDA LYNN (MD)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:LYNN
Last Name:PENA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 KENNETH RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408-6344
Mailing Address - Country:US
Mailing Address - Phone:717-779-2612
Mailing Address - Fax:717-779-2615
Practice Address - Street 1:1880 KENNETH RD
Practice Address - Street 2:SUITE 3
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-6344
Practice Address - Country:US
Practice Address - Phone:717-779-2612
Practice Address - Fax:717-779-2615
Is Sole Proprietor?:No
Enumeration Date:2008-09-11
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD432679207V00000X
FLME145078207V00000X
ORMD214287207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2113733OtherHIGHMARK BCBS
PA1023736130001Medicaid
PA413430OtherUPMC
PA413430OtherUPMC