NICHOLAS EMILE FERNANDO


Address: 101 Tower Rd, Suite 103, Dakota Dunes, SD 57049-5007
Phone: 6052177246

NICHOLAS EMILE FERNANDO (NPI# 1023010162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023010162
Entity Type Individual
Full Name NICHOLAS EMILE FERNANDO
Credential PA-C
Practice Address 101 Tower Rd
Suite 103
Dakota Dunes
SD 57049-5007
Mailing Address 917 Wynstone Rd
Jefferson
SD 57038-6875
Practice Telephone 6052177246
Practice Fax Number 6052174878
Mailing Telephone 6054223102
Mailing Fax Number 6054223103
Enumeration Date 2005-06-01
Last Update Date 2017-12-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0401 SD Physician Assistants & Advanced Practice Nursing Providers

Other Providers NICHOLAS FERNANDO

NPI Name Taxonomy Address Enumeration
1164075727 Nicholas Fernando Registered Nurse 10802 College Pl, Cerritos, CA 90703-1579 2019-07-22

Office Location

Street Address 101 TOWER RD
SUITE 103
City DAKOTA DUNES
State SD
Zip Code 57049-5007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578011334 Michelle Jean Zimiga Audiologist-Hearing Aid Fitter 101 Tower Rd, Suite 120, Dakota Dunes, SD 57049-5007 2016-09-21
1578019212 Mallory Hertz Physical Therapist 101 Tower Rd, Suite 110, Dakota Dunes, SD 57049-5011 2016-09-01
1659780278 Jessica Lee Bowman Nurse Practitioner 101 Tower Rd, Suite 120, Dakota Dunes, SD 57049-5007 2014-08-07
1619179538 Reason Andrew Ford Otolaryngology 101 Tower Rd, Suite 120, Dakota Dunes, SD 57049-5007 2007-06-04
1114141546 Ear Nose and Throat Consultants and Hearing Services Plc Otolaryngology 101 Tower Rd, Suite 120, Dakota Dunes, SD 57049 2007-04-13
1992826838 Jeremy Poulsen Anesthesiology 101 Tower Rd, Dakota Dunes, SD 57049-5007 2007-04-02
1073661187 Thomas George Pratt Optometrist 101 Tower Rd, Suite 300, Dakota Dunes, SD 57049-5007 2007-01-08
1801810585 Dunes Anesthesia PC Nurse Anesthetist, Certified Registered 101 Tower Rd, Suite 103, Dakota Dunes, SD 57049-5007 2006-07-27
1861442915 Sarah L Pertzborn Powell Otolaryngology 101 Tower Rd, Suite 120, Dakota Dunes, SD 57049-5007 2006-05-11
1386694354 Thomas J Kenny Iv Otolaryngology 101 Tower Rd, Suite 120, Dakota Dunes, SD 57049-5007 2006-05-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093356800 Dennis Alan Bickett Physical Therapist 365 W Anchor Drive, North Sioux City, SD 57049 2019-10-02
1053872416 Ryan Joel Anderson Nurse Anesthetist, Certified Registered Address: 101 Tower Rd, Suite 201, Dakota Dunes, SD 57049 2019-03-28
1043769656 Jeffrey L Howenstein Dmd Ms PC Dentist 711 Sioux Point Rd., Ste. 100, Dakota Dunes, SD 57049 2016-09-23
1821445206 Abbie A Gacke Speech-Language Pathologist 101 Tower Rd Ste 120, Dakota Dunes, SD 57049 2016-05-16
1346606233 Seth Wolles Specialist/Technologist 575 Sioux Point Rd, Dakota Dunes, SD 57049 2016-01-07
1598188252 Hanger Prosthetics & Orthotics East Inc Prosthetic/Orthotic Supplier 330 Dakota Dunes Blvd Ste 150, Dakota Dunes, SD 57049 2014-01-30
1932220217 Campbell Chiropractic Clinic PC Chiropractor 118 Gateway Dr, N. Sioux City, SD 57049 2007-04-03
1912048687 North Sioux Dental Clinic Dentist 101 Merrill Ave., North Sioux City, SD 57049 2007-02-08
1346322716 Donald B Cork Jr. Dentist 101 Merrill Ave, North Sioux City, SD 57049 2006-10-19
1265514681 Bethany R Nielsen Dentist 101 Merrill Ave, Box 1010, North Sioux City, SD 57049 2006-10-19
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720416563 Crystal M Oberle Physician Assistant 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049 2013-10-14
1144574997 Betsy Jo Bolton Physician Assistant 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 2012-11-01
1780988600 Sarah M Brend Physician Assistant 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 2011-01-06
1225332463 Molly E Schooley Physician Assistant 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 2011-01-03
1831139328 Mercy Medical Services Physician Assistant 330 Dakota Dunes Blvd, Dakota Dunes, SD 57049-0000 2006-06-07
1376547034 Lori A Drea Physician Assistant 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 2005-06-10
1073517314 Faye M Winder Physician Assistant 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 2005-06-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831595545 Kayla Weisbeck Physician Assistant 200 E Havens Ave, Mitchell, SD 57301-0432 2014-11-06
1306269287 Prairie Community Health Inc. Physician Assistant 223 A Street, Dupree, SD 57623-9999 2014-01-28
1528392941 Marilyn Margaret Roberts Physician Assistant Crhc, 24276 166th St, Airport Rd, Eagle Butte, SD 57625-1012 2009-10-01
1255516324 Harding County Healthcare LLC Physician Assistant 209 Ramsland Street, Buffalo, SD 57720-0182 2008-01-08
1790972719 Angela Blane Chambers Physician Assistant 161 S Main St., Mission, SD 57555 2007-10-03
1649348590 Richard Dunn Physician Assistant Pine Ridge Hospital East Highway 18, Pine Ridge, SD 57770-1201 2006-11-30
1649368960 Gary Neil Wurgler Physician Assistant 47226 S Rhonda Ave, Sioux Falls, SD 57108 2006-10-11
1558464446 Douglas County Memorial Hospital Physician Assistant 301 Main Street, Stickney, SD 57375-0014 2006-09-06
1760493811 Renette Lynne Kroupa Physician Assistant Hwy 34/47, Fort Thompson, SD 57339 2006-08-11
1356375992 Ruth M Thomas Physician Assistant Soldier Creek Road,box 400, Rosebud Indian Health Service Hospital, Rosebud, SD 57570-0400 2006-07-10
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Competitor

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City DAKOTA DUNES
Zip Code 57049

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Dataset Information

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.

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