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Deactivated NPI 1841392990 Deactivated / Inactive NPI Male Practitioner

Dr. Leopold Isaac Pena , MD

Surgery • Marietta, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Leopold Pena has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 01, 2006
NPI Deactivation Date January 19, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Leopold Pena, MD was a registered Surgery practicing in Marietta, GA. Throughout an active medical career spanning 16 years, Dr. Pena provided care at the practice location at 3834 AUSTELL RD SW until profile deactivation on 2022-01-19.

Practice Location & Contact Primary Location

Practice Address

3834 Austell Rd Sw
Suite C

Marietta, GA 300085863

Telephone 7709484219
Fax 7707390310
Associated Practice Facility / Clinic
🏢 Georgia Neuropathy Llc Facility NPI 1649544800

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Marietta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.1 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
22 Specialists

Practicing in Marietta, GA (1046 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 011898

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 19, 2022

Record deactivated on January 19, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3834 AUSTELL RD SW, SUITE C, MARIETTA, GA 300085863 (Tel: 7709484219)

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Updated Business Mailing Address July 08, 2007

Registered at 3834 AUSTELL RD SW, SUITE C, MARIETTA, GA 300085863 (Tel: 7709484219)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LEOPOLD PENA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #011898 in GA)

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Initial NPI Registration & Enumeration September 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841392990
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2006
Last Update: July 08, 2007
Deactivation Date: January 19, 2022

Mailing Address

3834 Austell Rd Sw, Suite C

Marietta, GA 300085863

Phone: 7709484219

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.