RICHARD ANTHONY FERNANDEZ


Address: 1000 Blythe Blvd, Charlotte, NC 28203-5812
Phone: 7044469213

RICHARD ANTHONY FERNANDEZ (NPI# 1629502935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629502935
Entity Type Individual
Full Name RICHARD ANTHONY FERNANDEZ
Credential M.D.
Practice Address 1000 Blythe Blvd
Charlotte
NC 28203-5812
Mailing Address 332 Washington Creek Dr
Willard
NC 28478-7882
Practice Telephone 7044469213
Mailing Telephone 9105479071
Enumeration Date 2017-04-13
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
NC STUDENT BLUE CROSS BLUE SHIELD UUIW1673510201 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2500 Pocoshock Pl Ste 104, North Chesterfield, VA 232356345 8042769305

Other Providers RICHARD FERNANDEZ

NPI Name Taxonomy Address Enumeration
1518148543 Richard Elias Fernandez Clinical Neuropsychologist 223 East Flagler St, Suite 432, Miami, FL 33131 2007-11-19
1851519599 Richard C Fernandez Speech-Language Pathologist 401 Ocean Ave, Suite 201a, Melbourne Beach, FL 32951-2558 2007-04-20
1558351437 Richard D Fernandez Pathology 311 West 8th Street, Rome, GA 30165 2005-10-24
1598208670 Richard Joseph Fernandez Physical Therapist 455 W 4th St Ste 10, Fostoria, OH 44830-1864 2016-11-22
1376709360 Richard Paul Fernandez Pediatrics 700 Childrens Dr, Columbus, OH 43205-2664 2008-07-30
1265541346 Richard Fernandez Specialist 1 Daniel Burnham Ct, Suite 365c, San Francisco, CA 94109-5455 2006-08-30
1235110057 Richard L Fernandez Internal Medicine 9210 Sw 72nd St, Ste 100, Miami, FL 33173-3274 2005-11-09
1376530113 Richard E Fernandez Radiology 99 Highway 37, Toms River, NJ 08755-6423 2005-10-05

Office Location

Street Address 1000 BLYTHE BLVD
City CHARLOTTE
State NC
Zip Code 28203-5812

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740282946 Shoaib Lateef Hospitalist 1000 Blythe Blvd, Cmc Annex 1st Floor, Charlotte, NC 28203-5812 2005-06-01
1588264527 Elizabeth Lopez Registered Nurse 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-10-29
1164021648 Daniel Alan Nichols Registered Nurse 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-10-26
1487267878 Anna Molengraft Physician Assistant 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-26
1699388116 Cassandra L. Barnes Nurse Practitioner 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-25
1407469927 Lesley Rummage Nurse Practitioner 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-25
1104437326 Nicole Clarke Registered Nurse 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-11
1942819594 Nigella Siegl Nurse Practitioner 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-07-29
1316556319 Carly E Janusek Physician Assistant 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-07-26
1932717212 Lauren May Vanderlip Registered Nurse 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982225983 William Bedard Michel Emergency Medicine Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 2020-04-30
1922636927 Paulina M Kriska Dentist Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 2020-03-27
1386271930 Irina Maria Geiculescu Pediatrics 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 2020-03-24
1205499316 James C Winnek Counselor 1713 East Blvd., Charlotte, NC 28203 2019-04-16
1487114492 Laurie Fford Counseling and Consulting Pllc Counselor 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 2019-03-25
1184188815 Sunday Money Home Health 2151 Hawkins St., Suite 201, Charlotte, NC 28203 2019-01-28
1164902706 Lindsay Koonce Helton Dietitian, Registered 1218 East Blvd Ste G, Charlotte, NC 28203 2018-08-14
1376057406 Veritas Collaborative Charlotte, LLC Clinic/Center 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 2017-11-28
1043733306 Kimberly Stripp Pharmacist 1300-b East Blvd, Charlotte, NC 28203 2017-07-19
1427570639 Caroline Kaleel Fogleman Optometrist 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 2017-07-10
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215544564 Umuhire Ntabana Student in an Organized Health Care Education/Training Program 712 Woodruff Pl, Charlotte, NC 28208-4552 2020-09-29
1184236226 Andrea Rose Corpus Student in an Organized Health Care Education/Training Program 7617 Grayling Ct, Charlotte, NC 28227-1200 2020-08-19
1548871445 Deborah Hugh Student in an Organized Health Care Education/Training Program 4924 Dawnridge Dr, Charlotte, NC 28226-8088 2020-08-13
1922619337 Connor Michael Gordley Student in an Organized Health Care Education/Training Program 824 Autumn Rain Ln, Charlotte, NC 28209-4794 2020-08-11
1396356796 Kaitlin Anne Phelps Student in an Organized Health Care Education/Training Program 1315 Harding Pl Apt 342, Charlotte, NC 28204-3542 2020-08-11
1891306106 Grace Horrall Student in an Organized Health Care Education/Training Program 2808 Griffith St Apt 3111, Charlotte, NC 28203-2406 2020-08-11
1124642756 Umanah Healthcare Institute Student in an Organized Health Care Education/Training Program 5801 Executive Center Dr Ste 103, Charlotte, NC 28212-8870 2020-05-29
1407479108 Sarah Anderson Student in an Organized Health Care Education/Training Program 12715 Mosby Ln, Charlotte, NC 28273-4841 2020-05-28
1043833916 Rachel Marleen Grove Student in an Organized Health Care Education/Training Program 1908 Piedmont Hills Pl Apt 828, Charlotte, NC 28217-6716 2020-05-26
1669095733 Zachary A Wood Student in an Organized Health Care Education/Training Program 1042 Newfound Hollow Dr, Charlotte, NC 28214-8823 2020-05-25
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28203

Improve Information

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Dataset Information

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.

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