PEDRO R HERNANDEZ (NPI# 1548257900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548257900 |
| Entity Type | Individual |
| Full Name | PEDRO R HERNANDEZ |
| Credential | M.D. P.A. |
| Practice Address |
1901 Medi Park Suite 138 Amarillo TX 79106-2110 |
| Practice Telephone | 8063553364 |
| Practice Fax Number | 8063550108 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2019-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
E5385 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS OF TEXAS | 00RJ36 | 01 |
| TX | FIRSTCARE/SOUTHWEST LIFE | 115014100 | 01 |
| TX | 134882305 | 05 | |
| NM | E7319 | 05 | |
| TX | AETNA | 4209208 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073703765 | Pedro Luis Hernandez | Dentist | Carr 181 Km 3.4, Plaza Trujillo Ste 20, Trujillo Alto, PR 00976 | 2007-07-28 |
| 1275625824 | Pedro J Hernandez Sr. | Dentist | 491 21 Avenue First Floors, Suite # 2, Paterson, NJ 07513-1656 | 2006-09-29 |
| 1356976336 | Pedro Hernandez | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-03-10 |
| 1821521162 | Pedro Hernandez | Community Health Worker | 1550 Treat Ave, San Francisco, CA 94110-5234 | 2017-04-04 |
| 1558748525 | Pedro Augusto Hernandez | Registered Nurse | 632 Blue Hill Ave, Boston, MA 02121-3213 | 2015-04-29 |
| 1215255963 | Pedro Hernandez | Counselor | 400 Edmonds Rd, Redwood City, CA 94062-3803 | 2010-05-05 |
| 1003008327 | Pedro Hernandez | Surgery | 364 White Oak St, Asheboro, NC 27203-5434 | 2007-08-10 |
| 1689878407 | Pedro J Hernandez | Surgery | Ave Ponce De Leon # 715, Parada 37.5, San Juan, PR 00918-1000 | 2007-06-14 |
| 1962563726 | Pedro Hernandez | Orthopaedic Surgery | 3737 Sw 8th St Ste 101, Coral Gables, FL 33134-3121 | 2006-12-13 |
| 1497823454 | Pedro Hernandez | Legal Medicine | 3090 S Douglas Rd, Miami, FL 33133-4311 | 2006-11-30 |
| Street Address |
1901 MEDI PARK SUITE 138 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790940633 | Phyllis Mclemore | Nurse Practitioner | 1901 Medi Park, Ste 2051, Amarillo, TX 79106-2169 | 2008-07-21 |
| 1417179912 | Randi Ferris | Speech-Language Pathologist | 1901 Medi Park, 65, Amarillo, TX 79106 | 2007-05-03 |
| 1518179738 | Brenda Stamps | Physical Therapist | 1901 Medi Park, 65, Amarillo, TX 79106 | 2007-05-03 |
| 1497977391 | Tiffany Blount | Occupational Therapy Assistant | 1901 Medi Park, 65, Amarillo, TX 79106 | 2007-05-02 |
| 1972725711 | Amber Hill | Speech-Language Pathologist | 1901 Medi Park, 65, Amarillo, TX 79106 | 2007-05-02 |
| 1871628032 | Larry Gene Schulz | Dentist | 1901 Medi Park, Ste 219, Amarillo, TX 79106 | 2007-02-21 |
| 1497844112 | Sivaram Sudhakar | Psychiatry & Neurology | 1901 Medi Park, Suite # 1062, Amarillo, TX 79106 | 2006-10-12 |
| 1356359186 | Melburn Kenton Huebner | Orthopaedic Surgery | 1901 Medi Park, Ste 10, Amarillo, TX 79016-2105 | 2006-08-04 |
| 1629096086 | Douglass Y Hyde | Orthopaedic Surgery | 1901 Medi Park, Suite 10, Amarillo, TX 79106-2105 | 2006-07-17 |
| 1083641690 | Vinodkumar Somabhai Patel | Internal Medicine | 1901 Medi Park, Suite # 2049, Amarillo, TX 79106-2110 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720215296 | Jason Andrew Strefling | Internal Medicine | 6200 W I 40, Amarillo, TX 79106-2512 | 2009-06-11 |
| 1760598577 | Acute & Chronic Pain Management Center Pa | Internal Medicine | 24 Care Cir, Amarillo, TX 79124-2118 | 2006-08-22 |
| 1861429243 | Ali Jaffar | Internal Medicine | 3501 S Soncy Rd Ste 144, Amarillo, TX 79119-6406 | 2006-06-28 |
| 1114954336 | William Glenn Friesen | Internal Medicine | 1215 Coulter Suite 302, Amarillo, TX 79106 | 2006-06-26 |
| 1467401026 | Nisar Mikail Huq | Internal Medicine | 1215 S Coulter St Ste 302, Amarillo, TX 79106-1768 | 2006-05-09 |
| 1902802200 | Max E Warren Jr. | Internal Medicine | 1901 Port Lane, Amarillo Heart Group, Amarillo, TX 79106-2430 | 2005-06-22 |
| 1245234293 | Anthony J Agostini | Internal Medicine | 6200 I-40 W, Amarillo, TX 79106-2512 | 2005-06-08 |
| 1740613116 | Cca Cath Lab LLC | Internal Medicine | 6200 W I 40, Suite 200, Amarillo, TX 79106-2512 | 2013-08-20 |
| 1760649289 | Rajesh Nambiar | Internal Medicine | 1901 Port Ln, Amarillo, TX 79106-2430 | 2008-05-21 |
| 1447424007 | David Gregory Brabham | Internal Medicine | 6200 I-40 W, Amarillo, TX 79106-2512 | 2008-04-15 |
| Find all providers in AMARILLO | ||||
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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.