DR. JOSEPH HERNANDEZ (NPI# 1821168378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821168378 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH HERNANDEZ |
| Credential | MD |
| Practice Address |
826 Sw Main Blvd Ste 102 Lake City FL 32025-5742 |
| Mailing Address |
289 Sw Macon St Madison FL 32340 |
| Practice Telephone | 3867540600 |
| Practice Fax Number | 3867559737 |
| Mailing Telephone | 9542619747 |
| Mailing Fax Number | 8509734726 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME44356 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | ME44356 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | ME44356 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 94525 | 01 |
| FL | FL LICENSE | ME44356 | 01 |
| FL | 277541700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891281556 | Joseph Anthony Hernandez | Licensed Vocational Nurse | 604 Santa Fe, Victoria, TX 77904-3001 | 2018-07-05 |
| 1982836961 | Joseph H Hernandez | Specialist/Technologist | 13805 Research Blvd, Suite 150, Austin, TX 78750-1299 | 2009-08-10 |
| 1033768395 | Joseph Hernandez | Rehabilitation Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2019-09-10 |
| 1154978864 | Joseph Hernandez | Physical Therapist | 1779 N Zaragoza Rd, El Paso, TX 79936-8027 | 2019-08-19 |
| 1053706366 | Joseph Hernandez | Rehabilitation Practitioner | 10012 Norwalk Blvd, #140, Santa Fe Springs, CA 90670-3343 | 2015-04-02 |
| 1164837696 | Joseph Peter Hernandez IIi | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912 | 2014-06-23 |
| 1104052232 | Joseph Demetrius Hernandez | Allergy & Immunology | 269 Campus Dr, Immunology and Allergy, Ccsr 3215, Stanford, CA 94305-5366 | 2009-06-03 |
| 1346427804 | Joseph Daniel Hernandez | Counselor | 5404 Laurel Hills Dr, Sacramento, CA 95841-3106 | 2008-01-28 |
| 1063576395 | Joseph S Hernandez | Pharmacist | 14011 Park Ave, Victorville, CA 92392-2413 | 2006-12-21 |
| 1750322269 | Joseph M Hernandez IIi | Psychiatry & Neurology | 17720 Corporate Woods Dr, San Antonio, TX 78259-3500 | 2006-06-08 |
| Street Address |
826 SW MAIN BLVD STE 102 |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-5742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003148016 | Joseph M Hernandez Md Pa | Clinic/Center | 826 Sw Main Blvd Ste 102, Lake City, FL 32025-5742 | 2010-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801959697 | Anthony R. Ellis | Emergency Medicine | 3478 Inwood Ave, Lake City, IA 51449-7577 | 2006-12-19 |
| 1538251186 | North Florida Emergency Physicians | Emergency Medicine | 368 Ne Franklin Street, Lake City, FL 32055 | 2006-09-29 |
| 1467471201 | Carlos H Castellon | Emergency Medicine | 152 Nw Otter Ct, Lake City, FL 32055-7252 | 2006-07-19 |
| 1821028408 | Dean Silverberg | Emergency Medicine | North Florida/south Georgia Veterans Health System, 619 South Marion Avenue, Lake City, FL 32025 | 2006-07-03 |
| 1457396434 | Paul Richard Schriever | Emergency Medicine | 368 Ne Franklin St, Lake City, FL 32055-3088 | 2006-06-17 |
| 1053369595 | Beuford Durmon | Emergency Medicine | 700 N Henson St, Lake City, CO 81235 | 2006-05-05 |
| 1689665341 | James Charles Comstock | Emergency Medicine | 3420 Inwood Ave, Lake City, IA 51449-7577 | 2005-11-02 |
| 1336134386 | Sterling Emergency Services of Florida, Pa | Emergency Medicine | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2005-09-15 |
| 1730707589 | Dustin Michael Crovo | Emergency Medicine | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2020-07-08 |
| 1194134031 | Crater Lake Emergency Physicians LLC | Emergency Medicine | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2014-08-05 |
| Find all providers in LAKE CITY | ||||
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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.