GINA ELIZABETH HERNANDEZ (NPI# 1760403943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760403943 |
| Entity Type | Individual |
| Full Name | GINA ELIZABETH HERNANDEZ |
| Credential | PA |
| Practice Address |
1104 Walnut Dr Ardmore OK 73401-2353 |
| Practice Telephone | 5802260543 |
| Practice Fax Number | 5802262284 |
| Mailing Telephone | 5802260543 |
| Mailing Fax Number | 5802262284 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1401 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200061330A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447655741 | Gina Hernandez | Nurse Practitioner | 1 Sheridan Place, Suite 212, Hollywood, FL 33021 | 2014-10-29 |
| 1952944035 | Gina Isabel Hernandez | Occupational Therapist | 7112 Ed Bluestein Blvd Ste 100, Austin, TX 78723-2913 | 2019-10-22 |
| 1124563705 | Gina Bianca Hernandez | Behavioral Analyst | 6400 Boynton Beach Blvd, Boynton Beach, FL 33474-3601 | 2017-01-05 |
| 1740691757 | Gina Hernandez | Counselor | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2014-05-13 |
| 1730501826 | Gina Hernandez | Rehabilitation Practitioner | 6055 E Washington Blvd, Suite 900, Commerce, CA 90040-2449 | 2014-01-09 |
| 1457695439 | Gina Kay Hernandez | Case Manager/Care Coordinator | Rr 1 Box 131c, Eufaula, OK 74432-9223 | 2012-11-15 |
| 1730399809 | Gina Marie Hernandez | Counselor | 2403 Professional Dr, Suite 101, Santa Rosa, CA 95403-3007 | 2007-05-23 |
| Street Address |
1104 WALNUT DR |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-2353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770504037 | Miguel Antonio Camacho-garrido | Pediatrics | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2006-07-22 |
| 1013374271 | Shawn Fadum | Physician Assistant | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2016-01-19 |
| 1346618980 | Family Health Skilled Services LLC | Family Medicine | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2015-09-14 |
| 1952476251 | Osu Center for Health Sciences | Clinic/Center | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2006-11-21 |
| 1497853774 | Melissa Cashman, Ph.d.,p.c.,inc. | Psychologist | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2006-09-20 |
| 1871698514 | Melissa Cashman | Psychologist | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2006-09-14 |
| 1497862304 | Miguel A. Camacho, Md P.C. | Pediatrics | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2006-08-24 |
| 1871607903 | Michael W Carnahan | Family Medicine | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2006-08-18 |
| 1568576619 | Family Practice Associates | Family Medicine | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2006-08-18 |
| 1972616183 | Sharon E Hall | Nurse Practitioner | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176147 | April Dawn Sullivan | Physician Assistant | 1111 Walnut Dr, Ardmore, OK 73401-2354 | 2020-05-28 |
| 1427594274 | Danielle Wheat | Physician Assistant | 908 N Rockford Rd Ste G, Ardmore, OK 73401-2541 | 2017-01-17 |
| 1316956998 | Shelby Lucas | Physician Assistant | 908 N Rockford Road, Suite A, Ardmore, OK 73401-2541 | 2006-08-05 |
| 1871558064 | Charles Donald Holmes | Physician Assistant | 1001 15th Ave Nw, Suite A, Ardmore, OK 73401-1810 | 2006-04-19 |
| 1912998857 | Julie Kaye Bryant | Physician Assistant | 2410 N Commerce St, Ardmore, OK 73401 | 2005-10-31 |
| 1083601868 | Robert Dean Hanna | Physician Assistant | 1505 N Commerce St, Ste 203, Ardmore, OK 73401-1859 | 2005-10-05 |
| 1447876826 | Kyndel Dillard | Physician Assistant | 1675 12th Ave Nw, Ardmore, OK 73401-1283 | 2020-06-22 |
| 1609232164 | Hope Robbins | Physician Assistant | 2410 N Commerce St, Ardmore, OK 73401-1356 | 2016-01-13 |
| 1932448347 | Jerad Scott Wagner | Physician Assistant | 921 14th Ave Nw, Ardmore, OK 73401-1837 | 2013-02-05 |
| 1245501105 | Aaron Spells | Physician Assistant | 915 10th Ave Nw, Ardmore, OK 73401-4025 | 2012-01-24 |
| Find all providers in ARDMORE | ||||
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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.