DR. MATTHEW FERNANDEZ (NPI# 1194259341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194259341 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW FERNANDEZ |
| Credential | DPM |
| Practice Address |
1012 Physicians Dr Charleston SC 29414-5719 |
| Mailing Address |
655 W 8th St Jacksonville FL 32209-6511 |
| Practice Telephone | 8435710602 |
| Mailing Telephone | 9042446810 |
| Mailing Fax Number | 9042447213 |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2020-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
703 | SC | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
703 | SC | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457879116 | Matthew Julian Fernandez | Pharmacist | 1536 N Atherton St, State College, PA 16803-3041 | 2017-09-01 |
| 1730529033 | Matthew Fernandez | Counselor | 2750 E Washington Blvd Ste 230, Pasadena, CA 91107-1449 | 2013-07-01 |
| 1205006822 | Matthew R Fernandez | Physician Assistant | 410 Saybrook Rd Ste 100, Middletown, CT 06457-4780 | 2008-03-11 |
| Street Address |
1012 PHYSICIANS DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154493252 | Charleston Orthopaedic Associates | Specialist | 1012 Physicians Dr, Charleston, SC 29414 | 2006-11-14 |
| 1053793844 | Amanda Beckmann | Physical Therapist | 1012 Physicians Dr, Ste 102, Charleston, SC 29414-5719 | 2015-06-29 |
| 1285035055 | Barbara Lynn Mcpherson | Physical Therapist | 1012 Physicians Dr, Charleston, SC 29414-5719 | 2014-09-11 |
| 1700203742 | Saima Ismaili Dpm | Podiatrist | 1012 Physicians Dr, Charleston, SC 29414-5719 | 2014-03-27 |
| 1851725824 | Ashley Denise Williams | Podiatrist | 1012 Physicians Dr, Charleston, SC 29414-5719 | 2013-08-27 |
| 1447509542 | Saima Ismaili Dpm | Podiatrist | 1012 Physicians Dr, Charleston, SC 29414-5719 | 2012-09-05 |
| 1861660623 | Saima Ismaili | Podiatrist | 1012 Physicians Dr, Charleston, SC 29414-5719 | 2008-02-14 |
| 1619033081 | Charleston Orthopaedic Associate | Durable Medical Equipment & Medical Supplies | 1012 Physicians Dr, Charleston, SC 29414-5719 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659407781 | Martin Bruce Nead | Podiatrist | 1014 E St, Charleston, IL 61920-2524 | 2007-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457728032 | Flowertown Podiatry, Inc | Podiatrist | 4340 Ladson Rd Ste C, Ladson, SC 29456-6444 | 2015-08-30 |
| 1346384971 | John Ksor | Podiatrist | 2502 Broad St, Camden, SC 29020-2238 | 2007-02-16 |
| 1326007022 | Mark Raymond Kutyla | Podiatrist | 121 Park Place Ct, Lexington, SC 29072-6690 | 2006-03-21 |
| 1669441895 | Gerard F Rainer | Podiatrist | 148 Milestone Way, Suite A, Greenville, SC 29615-5007 | 2006-03-17 |
| 1609850122 | Brad A. Lindstrom | Podiatrist | 211 E Butler Rd, Suite A-2, Mauldin, SC 29662-2169 | 2005-11-30 |
| 1285623827 | Sarah M Jordan | Podiatrist | 1399 John B White Sr Blvd, Spartanburg, SC 29306-3911 | 2005-10-17 |
| 1134571334 | Robert Ezewuiro | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2016-07-12 |
| 1336564749 | Oak Tree Podiatry, Pa | Podiatrist | 5 Winchester Ct, Mauldin, SC 29662-2626 | 2014-02-21 |
| 1265673784 | Hans Blaakman,dpm,llc | Podiatrist | 1575 E Main St, Duncan, SC 29334-9218 | 2009-03-12 |
| 1467609016 | Gerard F. Rainer Dpm | Podiatrist | 148 Milestone Way, Ste A, Greenville, SC 29615-5007 | 2008-08-26 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on DR. MATTHEW FERNANDEZ.
| 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.