DR. JIM B FERNANDEZ (NPI# 1831135953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831135953 |
| Entity Type | Individual |
| Full Name | DR. JIM B FERNANDEZ |
| Credential | MD |
| Practice Address |
900 W 38th St #300 Austin TX 78705-1127 |
| Practice Telephone | 5124501300 |
| Practice Fax Number | 5124501339 |
| Mailing Telephone | 5124501300 |
| Mailing Fax Number | 5124501339 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2011-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
L2246 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE SUPPLIER NUMBER | 1278600001 | 01 |
| TX | TEXAS MEDICAL BOARD | L2246 | 01 |
| TX | 149109402 | 05 |
| Street Address |
900 W 38TH ST #300 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104577 | Central Austin Ambulatory Surgery Center L.p. | Clinic/Center | 900 W 38th St, Ste 200, Austin, TX 78705-1129 | 2005-06-20 |
| 1326430448 | Urology Specialty Imaging LLC | Radiologic Technologist | 900 W 38th St, Suite 100, Austin, TX 78705-1127 | 2015-02-26 |
| 1447679287 | Central Park Associates of Radiology LLC | Clinic/Center | 900 W 38th St, Suite 100, Austin, TX 78705-1127 | 2014-04-09 |
| 1861749301 | Capitol Imaging Partners,llc | Clinic/Center | 900 W 38th St, Suite 100, Austin, TX 78705-1127 | 2012-08-14 |
| 1205108180 | Austin Southwest Orthopaedic Group Imaging LLC | Clinic/Center | 900 W 38th St, Suite 100, Austin, TX 78705-1127 | 2012-02-07 |
| 1528339447 | Cp Surgery Center, LLC | Clinic/Center | 900 W 38th St, Suite 200, Austin, TX 78705-1127 | 2012-01-24 |
| 1689954885 | Ent Imaging Partners LLC | Clinic/Center | 900 W 38th St, Suite 100, Austin, TX 78705-1127 | 2011-08-19 |
| 1437442027 | Pain Imaging Partners LLC | Clinic/Center | 900 W 38th St, Suite 100, Austin, TX 78705-1127 | 2011-05-16 |
| 1457642662 | Neurology Imaging Partners LLC | Clinic/Center | 900 W 38th St, 100, Austin, TX 78705-1127 | 2011-04-21 |
| 1518268606 | Austin Imaging Partners LLC | Clinic/Center | 900 W 38th St, Austin, TX 78705-1127 | 2010-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700380763 | Robert W Killebrew | Physical Medicine & Rehabilitation | 4401 Freidrich Ln Ste 302, Austin, TX 78744-1852 | 2018-03-22 |
| 1538687108 | Jocelyn J Smith | Physical Medicine & Rehabilitation | 3220 Amy Donovan Plaza, Apt 10103, Austin, TX 78758 | 2017-09-05 |
| 1821383126 | Ashley Zapf | Physical Medicine & Rehabilitation | 405 Deloss Dodds Way, Austin, TX 78712-7871 | 2011-06-14 |
| 1437686300 | Mary M Wilkins | Physical Medicine & Rehabilitation | 711 W 38th St Ste B3, Austin, TX 78705-1125 | 2017-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095164 | Roxana Ventura | Physical Medicine & Rehabilitation | 300 North Loop Ste 300, Houston, TX 77008-2853 | 2020-02-21 |
| 1720625544 | Kelli Knippa | Physical Medicine & Rehabilitation | 4202 44th St, Lubbock, TX 79413-3304 | 2019-12-01 |
| 1770128290 | Misty D Keim | Physical Medicine & Rehabilitation | 502 Dove Creek Dr, Round Rock, TX 78664-5920 | 2019-11-07 |
| 1720550213 | Kate Kautzky | Physical Medicine & Rehabilitation | 11200 Sean Haggerty Dr Apt 8202, El Paso, TX 79934-3390 | 2018-12-20 |
| 1720555212 | Pablo Eduardo Estrada | Physical Medicine & Rehabilitation | 3220 Montana Ave, El Paso, TX 79903-2630 | 2018-11-01 |
| 1750862652 | Heather Mcdonald | Physical Medicine & Rehabilitation | 501 Old Kyle Rd, Wimberley, TX 78676-2815 | 2018-08-28 |
| 1841701398 | Cortney Charlesworth | Physical Medicine & Rehabilitation | 12840 S Kirkwood Rd Apt 9110, Stafford, TX 77477-3848 | 2017-10-23 |
| 1962889949 | Yonghoon Lee | Physical Medicine & Rehabilitation | 7200 Cambridge St Ste A10.238, Houston, TX 77030-4202 | 2015-04-29 |
| 1699106112 | Komkrit Kaewchay | Physical Medicine & Rehabilitation | 8501 N Macarthur Blvd, 0582 C/o Consultant Usa, Irving, TX 75063-4100 | 2013-12-09 |
| 1285971127 | Michael John Perkins | Physical Medicine & Rehabilitation | 1451 Greens Prairie Road West, Suite 100, College Station, TX 77845-8734 | 2013-01-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JIM B FERNANDEZ.
| 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.