ENRIQUE HERNANDEZ (NPI# 1699763896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699763896 |
| Entity Type | Individual |
| Full Name | ENRIQUE HERNANDEZ |
| Credential | MD |
| Practice Address |
3401 N Broad St 7th Fl Out Patient Bldg Philadelphia PA 19140-5103 |
| Mailing Address |
2450 W Hunting Park Ave Philadelphia PA 19129-1302 |
| Practice Telephone | 2157073008 |
| Practice Fax Number | 2157071387 |
| Mailing Telephone | 2157073008 |
| Mailing Fax Number | 2157071387 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2017-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
MD037584E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0010883930007 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306481064 | Enrique Hernandez | Student in an Organized Health Care Education/Training Program | 8061 Maureen Dr, Cranberry Twp, PA 16066-2861 | 2019-11-16 |
| 1316414501 | Enrique Hernandez | Non-emergency Medical Transport (VAN) | 702 Branch Dr, Port Orange, FL 32127-5853 | 2018-10-26 |
| 1093067969 | Enrique Hernandez | Dentist | 2539 N Kedzie Blvd, 2, Chicago, IL 60647-1670 | 2012-10-03 |
| 1497994412 | Enrique Hernandez | Psychiatry & Neurology | 3 Cherrywood Cir, West Orange, NJ 07052-2401 | 2009-02-14 |
| 1982243242 | Enrique Ricky Hernandez | Community Health Worker | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-01-03 |
| 1841725405 | Enrique Albert Hernandez | Pharmacist | 2035 W 7th St, Los Angeles, CA 90057-4023 | 2017-04-20 |
| 1528320439 | Enrique Hernandez | Counselor | 1911 Williams Dr, Ste 165, Oxnard, CA 93036-2612 | 2012-06-15 |
| 1982928172 | Enrique Hernandez | Dentist | 13065 E 17th Ave, Mail Stop F849, Aurora, CO 80045-2532 | 2010-03-17 |
| Street Address |
3401 N BROAD ST 7TH FL OUT PATIENT BLDG |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205133 | Shefali Agrawal | Specialist | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2005-06-15 |
| 1962018523 | Caroline Grace Kelly | Audiologist | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-09-18 |
| 1457965964 | Barbara Ohiaeri | Pharmacist | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-09-02 |
| 1710505904 | Cara Greenspan | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-07-14 | |
| 1013535756 | Srinivasa Prasad Venkata Kanuparthi | Neurological Surgery | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-07-09 |
| 1417575143 | Sakshi Gandhi | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-07-09 |
| 1801414594 | Azka Rahman | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-07-08 |
| 1417574658 | Anna-kaye Marie Brown | Anesthesiology | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-07-04 |
| 1285251405 | Shalonda Cook | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-07-03 |
| 1386261501 | Temidayo Aderibigbe | Orthopaedic Surgery | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
| 1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
| 1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
| 1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
| 1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
| 1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
| Find all providers in zip 19140 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750618385 | Robert L Giuntoli | Obstetrics & Gynecology | 4537 Pine St, Philadelphia, PA 19143-1805 | 2009-11-03 |
| 1356496038 | Philadelphia Health & Education Corporation | Obstetrics & Gynecology | 246 North Broad St, 15th Floor South Tower, Philadelphia, PA 19102 | 2007-01-24 |
| 1356348056 | Charles Edmund Mangan Sr. | Obstetrics & Gynecology | 233 S 6th St Apt 2406, 233 S 6th St, Philadelphia, PA 19106-3757 | 2005-07-07 |
| 1063995710 | Temple Faculty Practice Plan, Inc | Obstetrics & Gynecology | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-10 |
| 1235527342 | University of Penn-medical Group | Obstetrics & Gynecology | 3400 Civic Center Blvd, 3rd Floor, Philadelphia, PA 19104-5127 | 2014-12-26 |
| 1568873156 | Margaret Elizabeth Whicker | Obstetrics & Gynecology | 3400 Civic Center Blvd, Philadelphia, PA 19104 | 2014-05-16 |
| 1881968063 | Fox Chase Cancer Center Medical Group, Inc | Obstetrics & Gynecology | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2012-03-06 |
| 1366734550 | Erin Margaret George | Obstetrics & Gynecology | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2011-05-06 |
| 1770873085 | Lori Amanda Cory | Obstetrics & Gynecology | 3400 Civic Center Blvd, Philadelphia, PA 19104 | 2011-04-08 |
| 1023247335 | Nawar D Abdul Latif | Obstetrics & Gynecology | 3400 Civic Center Blvd, 3rd Floor West, Philadelphia, PA 19104-5127 | 2009-07-08 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19140 |
Please comment or provide details below to improve the information on ENRIQUE HERNANDEZ.
| 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.