RICK J HERNANDEZ (NPI# 1437351806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437351806 |
| Entity Type | Individual |
| Full Name | RICK J HERNANDEZ |
| Credential | M.D. |
| Practice Address |
3960 Executive Park Blvd Suite 600 Southport NC 28461-8184 |
| Practice Telephone | 9104544343 |
| Practice Fax Number | 9104579209 |
| Mailing Telephone | 9104544343 |
| Mailing Fax Number | 9104579209 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2014-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2008-01465 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5913552 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134311582 | Rick Hernandez | Social Worker | 5310 Sequoia Rd Nw, Albuquerque, NM 87120-1249 | 2007-08-09 |
| Street Address |
3960 EXECUTIVE PARK BLVD SUITE 600 |
| City | SOUTHPORT |
| State | NC |
| Zip Code | 28461-8184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396859872 | Brunswick Family Medicine Pa | Family Medicine | 3960 Executive Park Blvd, Unit 600, Southport, NC 28461 | 2006-08-19 |
| 1851783815 | Carolina Strong Physical Therapy, LLC | Clinic/Center | 3960 Executive Park Blvd, Unit 5, Southport, NC 28461-8184 | 2015-02-28 |
| 1184888943 | Kelly Ann Payne | Physical Therapist | 3960 Executive Park Blvd, Unit 5, Southport, NC 28461-8184 | 2008-07-10 |
| 1366606121 | Michael S Payne | Physical Therapist | 3960 Executive Park Blvd, Unit 5, Southport, NC 28461-8184 | 2008-07-10 |
| 1194839647 | Slade Alan Suchecki | Family Medicine | 3960 Executive Park Blvd, Suite 600, Southport, NC 28461-8184 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645542 | Island Time Medical and Wellness, Pllc | Clinic/Center | 39 Dowitcher Trl, Bald Head Island, NC 28461 | 2020-09-30 |
| 1871095356 | Sunny Point Fire & Rescue | Emergency Medicine | 6280 Sunny Point Rd Bldg 44, Southport, NC 28461 | 2018-03-01 |
| 1962882035 | Kimberlee Kreuzer | Physical Therapist | 1517 N Howe St Suite 4, Southport, NC 28461 | 2015-06-04 |
| 1134449291 | Kristos Nektarios Vaughan | Family Medicine | 3009 Medical Plaza Lane, Southport, NC 28461 | 2010-06-10 |
| 1750612974 | Melissa Holden | Nurse Practitioner | 1517 N Howe St Ste 12, Southport, NC 28461 | 2010-01-28 |
| 1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
| 1124212329 | Edward Frank Babel | Nurse Practitioner | 201 West Boiling Spring Lakes Road, New Hope Clinic, Boiling Spring Lakes, NC 28461 | 2007-08-30 |
| 1952453151 | Robert Wayne Poe | Otolaryngology | 900 N. Howe St, Southport, NC 28461 | 2007-01-17 |
| 1275640898 | Kurt Thomas Scheetz | Dentist | 1301 N Howe Street, Southport, NC 28461 | 2006-08-23 |
| 1396755518 | Brad L. Hilaman Md Pa | Obstetrics & Gynecology | 823 N Atlantic Ave, Southport, NC 28461 | 2006-08-09 |
| Find all providers in zip 28461 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821518564 | Med First Immediate Care & Family Practice Pa | Family Medicine | 5130 Southport Supply Rd Se Ste 101, Southport, NC 28461-9262 | 2017-06-23 |
| 1134449291 | Kristos Nektarios Vaughan | Family Medicine | 3009 Medical Plaza Lane, Southport, NC 28461 | 2010-06-10 |
| 1629189279 | Robert A Wilson | Family Medicine | 717 N Howe St, Southport, NC 28461-3459 | 2006-08-31 |
| 1396859872 | Brunswick Family Medicine Pa | Family Medicine | 3960 Executive Park Blvd, Unit 600, Southport, NC 28461 | 2006-08-19 |
| 1235163668 | John William Moore | Family Medicine | 1456 Howe Street, Suite 201, Southport, NC 28461-2674 | 2006-07-10 |
| 1902839632 | Southport Urgent Care Plls | Family Medicine | 1456 N Howe St, Suite 100, Southport, NC 28461-2754 | 2006-07-08 |
| 1679550305 | George Thomas Holland | Family Medicine | 924 N Howe St, Southport, NC 28461-3038 | 2005-12-22 |
| 1043207749 | John D Irvin | Family Medicine | 4654 Long Beach Rd Se, Southport, NC 28461-8799 | 2005-09-29 |
| 1215936356 | Domenic A Palagruto | Family Medicine | 3599 George II Hwy, Southport, NC 28461-7793 | 2005-07-20 |
| 1609489921 | Robert A Wilson Md | Family Medicine | 717 N Howe St, Southport, NC 28461-3459 | 2020-08-26 |
| Find all providers in SOUTHPORT | ||||
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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.