Provider Demographics
NPI:1982729752
Name:PINEDA, JOY HECHANOVA (MD)
Entity type:Individual
Prefix:DR
First Name:JOY
Middle Name:HECHANOVA
Last Name:PINEDA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5705 MONCLOVA RD
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-1875
Mailing Address - Country:US
Mailing Address - Phone:419-893-3321
Mailing Address - Fax:419-897-1316
Practice Address - Street 1:5705 MONCLOVA RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-1875
Practice Address - Country:US
Practice Address - Phone:419-893-3321
Practice Address - Fax:419-897-1316
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2021-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH57.009810207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2357659Medicaid
OH2357659Medicaid