JUAN LUIS GUILLEN HERNANDEZ


Address: 2100 Stantonsburg Rd, Greenville, NC 27834-2818
Phone: 2528474378

JUAN LUIS GUILLEN HERNANDEZ (NPI# 1841695095) 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) 1841695095
Entity Type Individual
Full Name JUAN LUIS GUILLEN HERNANDEZ
Credential M.D
Practice Address 2100 Stantonsburg Rd
Greenville
NC 27834-2818
Mailing Address Po Box 751069
Charlotte
NC 28275-1069
Practice Telephone 2528474378
Practice Fax Number 2528479943
Enumeration Date 2014-10-30
Last Update Date 2020-07-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
2020-00938 NC Allopathic & Osteopathic Physicians
N 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
57.030437 OH Allopathic & Osteopathic Physicians
N 282N00000X General Acute Care Hospital Hospitals

Provider Secondary Practice Location

Address Telephone Number Fax Number
9500 Euclid Ave # M31-37, Cleveland, OH 441955504 2164442568

Office Location

Street Address 2100 STANTONSBURG RD
City GREENVILLE
State NC
Zip Code 27834-2818

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902802077 Leanna F. Thorn Emergency Medicine 2100 Stantonsburg Rd, Greenville, NC 27834-2818 2005-06-23
1891394557 Schuyler Geaslen Williams Nurse Practitioner 2100 Stantonsburg Rd, Greenville, NC 27834-2818 2020-10-22
1477169084 Denise Harper Clinical Nurse Specialist 2100 Stantonsburg Rd, Greenville, NC 27834-2818 2020-09-18
1548874068 Ileen Craven Registered Nurse 2100 Stantonsburg Rd, Greenville, NC 27834-2818 2020-09-02
1790397990 Randi Elizabeth Caruso Nurse Practitioner 2100 Stantonsburg Rd, Greenville, NC 27834-2818 2020-08-19
1184236333 Emily Merritt Pharmacist 2100 Stantonsburg Rd, Greenville, NC 27834-2818 2020-08-19
1467063107 Smit Rajput Internal Medicine 2100 Stantonsburg Rd, Greenville, NC 27834-2818 2020-08-15
1558971044 Kyle Travlos Registered Nurse 2100 Stantonsburg Rd, Greenville, NC 27834-2818 2020-08-09
1114537693 Ryan Austin Wagner Registered Nurse 2100 Stantonsburg Rd, Greenville, NC 27834-2818 2020-08-09
1790395283 Clayton Adams Registered Nurse 2100 Stantonsburg Rd, Greenville, NC 27834-2818 2020-08-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841801255 Nicholas Mcarthur Bennett Day Training, Developmentally Disabled Services 302 C, Greenville, NC 27834 2020-08-11
1275150245 Shelby Renee Jones Student in an Organized Health Care Education/Training Program East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 2020-06-25
1194347138 Soban Ahmad Student in an Organized Health Care Education/Training Program 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 2020-05-13
1427687789 Brandon Allen Yates Student in an Organized Health Care Education/Training Program 435 Clinic Drive, Greenville, NC 27834 2020-04-07
1144854407 Kristen Springer Dreyfus Marriage & Family Therapist 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 2020-02-26
1861038606 Southern Surgical Outpatient Surgery Center, Pa Clinic/Center 2457 Emerald Place, Greenville, NC 27834 2019-11-26
1003460569 Shaun Fitzpatrick Nurse Practitioner Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 2019-08-01
1649831496 Katherine Salome Ross Genetic Counselor, MS 524 Moye Blvd, Greenville, NC 27834 2019-06-24
1477011880 Lauren Bethune Scroggs Counselor 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 2019-03-05
1669998001 Idella's Care Home Community/Behavioral Health 2912 Lee Ct # 9a, Greenville, NC 27834 2017-08-17
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053568246 Shivani Desai Pediatrics 10 Sable Glen Dr, Greenville, SC 29615-6739 2008-08-19
1396776225 Gerald Joseph Ferlauto Pediatrics 29 North Academy Street, Greenville, SC 29601-2629 2006-07-06
1639131485 Kenneth Koschnitzki Pediatrics 125 Commonwealth Dr, Greenville, SC 29615-4812 2006-04-05
1376535450 Stephen C Engelke Pediatrics Children's Hospital 227, Ecu Physicians Pediatric Neonatology PCmh Neonatal, Greenville, NC 27834 2005-08-16
1497188189 Uduak Akpan Pediatrics 600 Moye Blvd, Ecu Peds/neonatology, Greenville, NC 27834-4300 2013-08-16
1790020071 Texas Neonatology Associates LLC Pediatrics 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 2012-11-28
1730479767 Joshua Matthew Cooper Pediatrics 701 Grove Rd, Greenville, SC 29605-4210 2011-04-11
1407150089 Michael Scott Stewart Pediatrics 701 Grove Rd, Neonatology Division, Greenville, SC 29605-4210 2010-12-22
1528386851 Matthew Frederic Halliday Pediatrics 701 Grove Rd, Greenville, SC 29605-4210 2010-05-11
1851520258 Nicole Ann Cothran Pediatrics 701 Grove Road, Greenville, SC 29605-5601 2009-07-07
Find all providers in GREENVILLE

Competitor

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City GREENVILLE
Zip Code 27834

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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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