RUBEN FERNANDEZ (NPI# 1295249209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295249209 |
| Entity Type | Individual |
| Full Name | RUBEN FERNANDEZ |
| Practice Address |
608 W Academy St Randleman NC 27317-9748 |
| Mailing Address |
550 White Oak St Asheboro NC 27203-4710 |
| Practice Telephone | 3364951001 |
| Practice Fax Number | 3364951001 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC STATE LICENSE | 0010-07721 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538626908 | Ruben Fernandez | Behavior Technician | 20 N Dewitt Ave, Clovis, CA 93612-0311 | 2019-02-21 |
| 1528190196 | Ruben Fernandez Jr. | Anesthesiology | 810 W Forest Ave, Jackson, TN 38301-3942 | 2007-03-09 |
| Street Address |
608 W ACADEMY ST |
| City | RANDLEMAN |
| State | NC |
| Zip Code | 27317-9748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801855143 | Philip T Olshinski | Nurse Practitioner | 608 W Academy St, Randleman, NC 27317-9748 | 2006-03-23 |
| 1598269748 | Carol A Bullard | Nurse Practitioner | 608 W Academy St, Randleman, NC 27317 | 2018-03-22 |
| 1104925072 | White Oak Family Physicians, Pa | Emergency Medicine | 608 W Academy St, Randleman, NC 27317-9748 | 2006-09-21 |
| 1477577328 | David G. Skowronek | Legal Medicine | 608 W Academy St, Randleman, NC 27317-9748 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356629026 | Eric James Ablott | Optometrist | 200 West Academy St, Randleman, NC 27317 | 2011-07-29 |
| 1891960241 | Pine Haven Family Medicine Pa | Family Medicine | 604 West Academy St, Randleman, NC 27317 | 2008-04-28 |
| 1902923139 | Sanford M Cates | Dentist | 107 West Naomi St, Randleman, NC 27317 | 2007-03-23 |
| 1295804417 | Grant James Haviland | Dentist | 215 West Naomi Street, Randleman, NC 27317 | 2006-11-06 |
| 1396763843 | Therapeutic Alternatives Inc | In Home Supportive Care | 4270 Heath Dairy Road, Randleman, NC 27317 | 2006-07-17 |
| 1982676441 | John James Slatosky Jr. | Family Medicine | 604 W Academy St, Randleman, NC 27317 | 2006-02-07 |
| 1174026058 | Jordan C Mullins | Specialist/Technologist | 201 Hammond St, Randleman, NC 27317-1435 | 2018-03-16 |
| 1992867402 | Ryan E Snipes | Optometrist | 200 W Academy St, Randleman, NC 27317-1504 | 2006-12-14 |
| 1558900035 | Eyecarecenter Od Pa | Optometrist | 200 W Academy St, Randleman, NC 27317-1504 | 2019-12-31 |
| 1508195330 | Onsite Eyecare Od Pa | Optometrist | 200 W Academy St, Randleman, NC 27317-1504 | 2009-12-07 |
| Find all providers in zip 27317 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538459 | Sarah Jane Lamanna | Physician Assistant | 3012 Bristol Creek Dr, Morrisville, NC 27560-7811 | 2020-11-04 |
| 1043819741 | Brad Russell Tolan | Physician Assistant | 211 Pinegate Cir Apt 12, Chapel Hill, NC 27514-2221 | 2020-10-22 |
| 1265030654 | Vanessa Vinson | Physician Assistant | 284 Lower Edgewood Rd, Candler, NC 28715-9285 | 2020-10-16 |
| 1649878810 | Courtney Michelle Watlington | Physician Assistant | 360 N Bennett St, Southern Pines, NC 28387-4813 | 2020-10-11 |
| 1669079034 | Christine Meyer | Physician Assistant | 2523 Creek Ridge Ln, Chapel Hill, NC 27514-7454 | 2020-10-07 |
| 1407453319 | Khyan Waddell | Physician Assistant | 127 Sneed Rd, Enfield, NC 27823-9589 | 2020-10-04 |
| 1053918979 | Amjad Ali | Physician Assistant | 730 Montlieu Ave, High Point, NC 27260-4000 | 2020-10-04 |
| 1104433382 | Aditi Bhattacharjee Sundaresan | Physician Assistant | 131 Mallard Ct, Chapel Hill, NC 27517-9104 | 2020-09-30 |
| 1689281933 | Kathryn Tarulli | Physician Assistant | 600 W Main St Apt 624, Durham, NC 27701-5005 | 2020-09-29 |
| 1205443991 | Kelsey Mendez | Physician Assistant | 105 Basket Oak Dr, Bunnlevel, NC 28323-9141 | 2020-09-26 |
| Find all providers with the same taxonomy | ||||
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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.