DR. LIONEL GREGORY FERNANDO (NPI# 1013083146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013083146 |
| Entity Type | Individual |
| Full Name | DR. LIONEL GREGORY FERNANDO |
| Credential | MD |
| Practice Address |
5617 Maxwell Pl Wilmington NC 28409-2966 |
| Mailing Address |
Po Box 16310 Wilmington NC 28408-6310 |
| Practice Telephone | 9107429243 |
| Practice Fax Number | 8887461787 |
| Mailing Telephone | 9107429243 |
| Mailing Fax Number | 8887461787 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2014-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
25796 | NC | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
25796 | NC | Allopathic & Osteopathic Physicians |
| N | 2084P0005X |
Psychiatry & Neurology Specialization: Neurodevelopmental Disabilities |
25796 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 31705 | 01 |
| NC | 8931711 | 05 |
| Street Address |
5617 MAXWELL PL |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28409-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171109 | Ronny Eric Wright Jr. | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2005-08-22 |
| 1578979985 | Stephen Francis Mceachen | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2014-07-07 |
| 1114332343 | Susan R Leonard | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2014-06-26 |
| 1235425323 | Maryann Catherine Richardson | Nurse Practitioner | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2011-06-27 |
| 1154629186 | Heather D Finney | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2011-02-28 |
| 1245549021 | Lois H Reed | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2010-09-28 |
| 1427366160 | Stephania Blakley Jordan | Nurse Practitioner | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2010-09-15 |
| 1841504388 | Regina Lynette Mcconley | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2010-07-26 |
| 1609109586 | David Glenn Yarborough IIi | Psychologist | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2009-09-10 |
| 1730335449 | Stevan Michael Clifton | Physician Assistant | 5617 Maxwell Pl, Wilmington, NC 28409-2966 | 2008-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916728 | Emily Savannah Holland | Specialist/Technologist | 1150 King's Hwy, Wilmington, NC 28409 | 2020-09-09 |
| 1912373465 | Thomas Malenfant | Hearing Instrument Specialist | 474 New Centre Drive, #6, Wilmington, NC 28409 | 2015-08-19 |
| 1720482862 | Leslie Morton Garris | Pharmacist | 6013 Chancellorville Drive, Wilmington, NC 28409 | 2014-10-17 |
| 1659621720 | Charles Warren Moorehead | Social Worker | 5710 Oleander Dr. Suite 208, Wilmington, NC 28409 | 2012-09-14 |
| 1992972020 | Nancy Beth Kotz | Social Worker | 6211 Terrapin Ct, Wilmington, NC 28409 | 2008-05-08 |
| 1366611089 | Michael Royce Penland | Psychologist | 5002-1 Hewletts Run, Wilmington, NC 28409 | 2008-02-27 |
| 1184755092 | Keith W Mann | Dentist | 818-101 Pine Grove Drive, Wilmington, NC 28409 | 2007-03-09 |
| 1477650554 | Jeffrey Beecham Chick | Specialist | 1201 Porches Dr, Suite 2, Wilmington, NC 28409 | 2006-09-20 |
| 1407964067 | Richard A. Lally | Counselor | 5425 Golden Eagle Court, Wilmington, NC 28409 | 2006-08-25 |
| 1598290520 | Monaca Lachman | Counselor | 6020 Leeward Ln, Wilmington, NC 28409-0129 | 2017-04-27 |
| Find all providers in zip 28409 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669675484 | Brandywine Center for Wellness | Psychiatry & Neurology | 515 W 18th St, Wilmington, DE 19802-4705 | 2007-06-08 |
| 1114028123 | George John Scontsas | Psychiatry & Neurology | 1201 Medical Center Drive, Wilmington, NC 28401-7306 | 2006-09-25 |
| 1922119429 | Spencer G Weig | Psychiatry & Neurology | 5121 Woods Edge Rd, Wilmington, NC 28409-3975 | 2006-08-31 |
| 1043224504 | Chih-cheng Frank Chen | Psychiatry & Neurology | 1608 Wellington Avenue, Wilmington Neurology Clinic, Wilmington, NC 28401-7757 | 2006-07-28 |
| 1962432716 | Marc S D'angelo | Psychiatry & Neurology | 6632 River Rd, Wilmington, NC 28412-3012 | 2006-07-04 |
| 1114423118 | Neurostar Inc. | Psychiatry & Neurology | 6 Sharpley Rd, Wilmington, DE 19803-2941 | 2018-03-30 |
| 1619397726 | Gurcharanjeet Kaur | Psychiatry & Neurology | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2014-04-16 |
| 1649537598 | Alan J. Fink, M.d., Neurologist, P.a. | Psychiatry & Neurology | 1306 N Broom St, Wilmington, DE 19806-4209 | 2012-04-17 |
| 1649591066 | Alyson Hommel | Psychiatry & Neurology | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2010-06-21 |
| 1063733517 | Karrie Grear | Psychiatry & Neurology | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2010-06-18 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28409 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.