JOHN FERNANDEZ


Address: 9040 Jackson Ave, Tacoma, WA 98431-2357
Phone: 7863556477

JOHN FERNANDEZ (NPI# 1811467103) 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) 1811467103
Entity Type Individual
Full Name JOHN FERNANDEZ
Credential PA
Practice Address 9040 Jackson Ave
Tacoma
WA 98431-2357
Mailing Address 2205 Bobs Hollow Ln
Dupont
WA 98327-8788
Practice Telephone 7863556477
Mailing Telephone 7863556477
Enumeration Date 2018-11-28
Last Update Date 2020-07-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9111525 FL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2956 Nw 95th Ter, Miami, FL 331472357 7863556477

Other Providers JOHN FERNANDEZ

NPI Name Taxonomy Address Enumeration
1528518172 John Fernandez Jr. Case Manager/Care Coordinator 4777 Bennett Dr, Las Vegas, NV 89121-6907 2016-10-06
1417224296 John Patrick Fernandez Internal Medicine 28 Morgan Hill Dr, Doylestown, PA 18901-2980 2011-11-22
1083734032 John Fernandez Chiropractor 4322 50th St, Suite 1-b, Woodside, NY 11377-4442 2007-03-30
1770518920 John Robert Fernandez Internal Medicine 3155 Grace Ave, Bronx, NY 10469-3134 2006-07-12
1134652357 John David Fernandez Student in an Organized Health Care Education/Training Program 17 E 102nd St, New York, NY 10029-5204 2017-04-05
1992198709 John Fernandez Physical Therapist 425 Nursing Home Dr, Arcadia, FL 34266-3839 2015-03-18
1639561871 John Justin Fernandez Marriage & Family Therapist 232 E Gish Rd, San Jose, CA 95112-4706 2015-02-25
1629334735 John Fernandez Counselor 720 University Ave, Las Vegas, NM 87701-4250 2012-04-03
1902183437 John Fernandez Physical Therapist 3000 Richmond Ave, 100, Houston, TX 77098-3102 2011-11-11
1316171408 John Gregory Fernandez Surgery 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 2009-05-05

Office Location

Street Address 9040 JACKSON AVE
City TACOMA
State WA
Zip Code 98431-2357

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356345185 John E Buonora Nurse Anesthetist, Certified Registered 9040 Jackson Ave, Tacoma, WA 98431-2025 2005-06-09
1629675251 Brian Rankin Student in an Organized Health Care Education/Training Program 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-10-06
1508473869 Allyssa Lynn Borak Student in an Organized Health Care Education/Training Program 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-09-30
1093322299 Jessica Granger Student in an Organized Health Care Education/Training Program 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-09-30
1134736481 Rebecca Reinhardt Student in an Organized Health Care Education/Training Program 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-09-29
1184238479 Mark Nash Physical Therapist 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-09-03
1679191969 Christopher A Land Student in an Organized Health Care Education/Training Program 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-07-13
1396362604 Valerie Kruger Genetic Counselor, MS 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-07-02
1255958724 Michael Wong Student in an Organized Health Care Education/Training Program 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-07-01
1841813391 Kailey Utley Optometrist 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-05-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497212260 Catrina Renee Grugin Registered Nurse Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 2019-02-27
1801307681 Bianca Gomez Dental Assistant Bldg 9900 Lincoln Street, Jblm, WA 98431 2017-10-19
1184133225 Darren Paris Registered Nurse Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 2017-09-20
1922538206 Sarah Frerichs Dentist Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 2017-06-19
1740736495 Misty Hill Dental Assistant 9119 Mill Park Ave, Tacoma, WA 98431 2016-08-31
1336695535 Jacqueline D Massouda Dentist Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 2016-08-28
1609239375 Gregg V Palmer Licensed Practical Nurse 17th and C Street, Bldg 11582, Tacoma, WA 98431 2016-03-31
1114323904 Deanna Sheets Nurse Practitioner 911 Mil Park Ave, Tacoma, WA 98431 2014-11-06
1679905434 Austin William Schaar Dentist Building 9900, 2nd Floor, Tacoma, WA 98431 2013-08-05
1518209758 Maurice Ibrahim Khayat Internal Medicine 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 2013-03-26
Find all providers in zip 98431

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609486026 Joanna Christine Hope Physician Assistant 2502 S Union Avenue, Tacoma, WA 98405 2020-08-01
1831663442 Noah C Chance Physician Assistant 9040 Jackson Ave Attn:credentials, Tacoma, WA 98431-4604 2019-01-16
1336618040 Bailey Bangerter Physician Assistant 1901 South Union, A-233, Tacoma, WA 98405 2018-11-26
1518448539 Kimberly Bui Physician Assistant 112 S 8th St Ste 200, Tacoma, WA 98402-5294 2018-08-27
1568942621 Michelle Lynn Scott Physician Assistant 1201 Pacific Ave Ste C6, Tacoma, WA 98402-4393 2018-08-17
1548770670 Bradley Richard Poe Physician Assistant 209 M.l.k. Jr Way, Tacoma, WA 98405 2017-10-03
1326588369 Alyssa K. Leaning Physician Assistant 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099 2017-02-23
1356609218 Rebecca Ann Sciandra Physician Assistant 9040a Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-7037 2012-04-30
1023392529 Kristie Michelle Mattern Physician Assistant 5427 S Birmingham St, Tacoma, WA 98409-5417 2011-10-03
1700100385 Colleen Anne Carette Physician Assistant 1500 N. Warner St., #1035, Tacoma, WA 98416-1035 2010-03-25
Find all providers in TACOMA

Competitor

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City TACOMA
Zip Code 98431

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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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