RUDY S FERNANDEZ MD PC (NPI# 1114193174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114193174 |
| Entity Type | Organization |
| Organization Name | RUDY S FERNANDEZ MD PC |
| Practice Address |
1023 Waterwood Pkwy Edmond OK 73034-5324 |
| Practice Telephone | 4055137226 |
| Practice Fax Number | 4055135620 |
| Mailing Telephone | 4055137226 |
| Mailing Fax Number | 4055135620 |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2010-11-24 |
| Authorized Official Name | RODOLFO FERNANDEZ (OWNER) |
| Authorized Official Telephone | 4055137226 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
20140 | OK | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528213063 | Rudy S Fernandez Md PC | Internal Medicine | 1023 Waterwood Pkwy, Edmond, OK 73034-5324 | 2008-11-25 |
| Street Address |
1023 WATERWOOD PKWY |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-5324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528213063 | Rudy S Fernandez Md PC | Internal Medicine | 1023 Waterwood Pkwy, Edmond, OK 73034-5324 | 2008-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711710 | Tulsa Radiology and Imaging Center LLC | Clinic/Center | 5711 E 71st St Ste 100d, Tulsa, OK 74136-6655 | 2020-08-21 |
| 1538345244 | Liberty Diagnostic Imaging of Okc LLC | Clinic/Center | 4001 Nw Expressway St, Oklahoma City, OK 73116-1686 | 2008-01-11 |
| 1558487108 | Open-sided Mri of Bartlesville, LLC | Clinic/Center | 4160 Se Adams Rd, Bldg B, Bartlesville, OK 74006-8410 | 2007-03-22 |
| 1184797185 | Advantage Diagnositc & Mri, LLC | Clinic/Center | 9149 S Yale Ave # 305, Tulsa, OK 74137-4024 | 2006-11-16 |
| 1013018795 | Open Mri of Durant,llc | Clinic/Center | 2911 W University Blvd, Durant, OK 74701-2978 | 2006-09-26 |
| 1114021284 | Southern Oklahoma Diagnostic Center, LLC | Clinic/Center | 1111 Walnut, Ardmore, OK 73401 | 2006-09-11 |
| 1922023175 | Shiloh Imaging Center LLC | Clinic/Center | 1415 N Watts St, Sayre, OK 73662-1310 | 2006-07-12 |
| 1942239702 | Vantage Open Mri LLC | Clinic/Center | 3400 W Hefner Rd, Oklahoma City, OK 73120-5083 | 2006-07-02 |
| 1922044841 | Ada Mri Associates, L.L.C. | Clinic/Center | 435 N Monte Vista St, Suite B, Ada, OK 74820-4609 | 2006-06-20 |
| 1689611303 | Midwest Open Mri, LLC | Clinic/Center | 2300 S Douglas Blvd, Midwest City, OK 73130-7114 | 2006-06-01 |
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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.