DR. JOHN GREGORY FERNANDEZ (NPI# 1316171408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316171408 |
Entity Type | Individual |
Full Name | DR. JOHN GREGORY FERNANDEZ |
Credential | M.D. |
Practice Address |
1331 E Wyoming Ave Philadelphia PA 19124-3808 |
Practice Telephone | 2155377400 |
Mailing Telephone | 2155377400 |
Enumeration Date | 2009-05-05 |
Last Update Date | 2015-06-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD446571 | PA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528518172 | John Fernandez Jr. | Case Manager/Care Coordinator | 4777 Bennett Dr, Las Vegas, NV 89121-6907 | 2016-10-06 |
1417224296 | John Patrick Fernandez | Internal Medicine | 28 Morgan Hill Dr, Doylestown, PA 18901-2980 | 2011-11-22 |
1083734032 | John Fernandez | Chiropractor | 4322 50th St, Suite 1-b, Woodside, NY 11377-4442 | 2007-03-30 |
1770518920 | John Robert Fernandez | Internal Medicine | 3155 Grace Ave, Bronx, NY 10469-3134 | 2006-07-12 |
1811467103 | John Fernandez | Physician Assistant | 9040 Jackson Ave, Tacoma, WA 98431-2357 | 2018-11-28 |
1134652357 | John David Fernandez | Student in an Organized Health Care Education/Training Program | 17 E 102nd St, New York, NY 10029-5204 | 2017-04-05 |
1992198709 | John Fernandez | Physical Therapist | 425 Nursing Home Dr, Arcadia, FL 34266-3839 | 2015-03-18 |
1639561871 | John Justin Fernandez | Marriage & Family Therapist | 232 E Gish Rd, San Jose, CA 95112-4706 | 2015-02-25 |
1629334735 | John Fernandez | Counselor | 720 University Ave, Las Vegas, NM 87701-4250 | 2012-04-03 |
1902183437 | John Fernandez | Physical Therapist | 3000 Richmond Ave, 100, Houston, TX 77098-3102 | 2011-11-11 |
Street Address |
1331 E WYOMING AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19124-3808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154893303 | Jacqueline Sweeney | Nurse Practitioner | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2018-12-28 |
1477025096 | Renee Pieroth | Dietitian, Registered | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2018-12-20 |
1184109399 | Stephanie Maria Einstein | Nurse Practitioner | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2018-10-03 |
1346735149 | Kamorin Samson | Dietitian, Registered | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2018-06-25 |
1962802819 | Jennifer Lynn Jones | Physician Assistant | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2014-08-28 |
1649607284 | Audrey Lynn Shaw | Physician Assistant | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2013-09-27 |
1427481209 | Rocco Michael Bianco IIi | Registered Nurse | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2013-08-15 |
1912349556 | Catherine Kirby Lee | Registered Nurse | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2013-07-24 |
1932547742 | Xiao Yang | Internal Medicine | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2013-06-13 |
1083052435 | Carol F Roth | Social Worker | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2013-06-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831749308 | William Mark Hanna Sr. | Pharmacist | 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 | 2019-09-17 |
1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
1548731391 | Sierra Pinkney | Registered Nurse | 1615 Granite St, Philadelphia, PA 19124 | 2018-12-05 |
1922507987 | Xavier Sergio Henriquez | Counselor | 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 | 2018-02-06 |
1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
1952843732 | Patrick Grugan | Social Worker | Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 | 2016-11-10 |
1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
1851769327 | Aleka Kostouros | Social Worker | Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 | 2015-09-14 |
1407230378 | Sara Bachani | Psychiatry & Neurology | 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 | 2015-07-10 |
1215327051 | Alyssa Renee Kirk | Counselor | 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 | 2015-02-02 |
Find all providers in zip 19124 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487029971 | Philip Lipkin | Surgery | 233 S 6th St Apt 2101, Philadelphia, PA 19106-3756 | 2015-12-09 |
1396276077 | Michael Alan Lanni | Surgery | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2017-03-23 |
1851742894 | Michael G. Tecce | Surgery | 3400 Spruce Street, Philadelphia, PA 19104 | 2016-06-30 |
1467863449 | Jason Wink | Surgery | 3400 Spruce St, 10 Penn Tower, Philadelphia, PA 19104-4238 | 2014-05-13 |
1669818753 | Valeriy Shubinets | Surgery | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2013-05-15 |
1821381153 | Lin Lin Gao | Surgery | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2011-05-19 |
1649496340 | Brooke Alissa Burkey | Surgery | 3601 A St, Suite 2204, Philadelphia, PA 19134-1043 | 2007-04-18 |
1386770428 | Ted Eisenberg | Surgery | 2375 Woodward St, 102, Philadelphia, PA 19115-5120 | 2007-02-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326698549 | Michael Shafran Do PC | Surgery | 2 Park Ln Fl 3, Feasterville Trevose, PA 19053-6004 | 2019-09-19 |
1255873915 | Lam Plastic Surgery LLC | Surgery | 848 Town Center Drive, Langhorne, PA 19047-3439 | 2016-11-12 |
1477865566 | Ralph W Hamilton | Surgery | 847 Willow Valley Lakes Dr, Willow Street, PA 17584-9040 | 2010-07-06 |
1770801870 | Irene Teting Ma | Surgery | 3550 Terrace St 664 Scaife Hall, Pittsburgh, PA 15261 | 2010-05-13 |
1649408162 | Michael David Lado | Surgery | 1828 Ridgewood Rd, Orwigsburg, PA 17961-9525 | 2009-06-23 |
1245490515 | Wellspan Medical Group | Surgery | 50 Wyntre Brooke Dr, York, PA 17403-4535 | 2008-06-11 |
1982813853 | Wellington Joseph Davis IIi | Surgery | 1210 S Cedar Crest Blvd Ste 100, Allentown, PA 18103-6229 | 2007-05-21 |
1043423502 | James William Slavin | Surgery | 8216 Cedar Rd., Elkins Park, PA 19027-2114 | 2007-05-08 |
1467679787 | Amelia Arianne Pare Md PC | Surgery | 123 Hidden Valley Rd, Mc Murray, PA 15317-2603 | 2007-04-19 |
1063575561 | Daniel R Nevarre | Surgery | 415 Napoleon Pl, Johnstown, PA 15901-2504 | 2006-12-18 |
Find all providers with the same taxonomy |
City | PHILADELPHIA |
Zip Code | 19124 |
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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.