MARK A HERNANDEZ MD PA (NPI# 1902010663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902010663 |
| Entity Type | Organization |
| Organization Name | MARK A HERNANDEZ MD PA |
| Practice Address |
4101 Nw 4th St Suite 208 Plantation FL 33317-2850 |
| Mailing Address |
12355 Sw 76th St Miami FL 33183-3601 |
| Practice Telephone | 9547920400 |
| Practice Fax Number | 3055986536 |
| Mailing Telephone | 7862828983 |
| Mailing Fax Number | 3052259011 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2011-09-29 |
| Authorized Official Name | MR. MARK A HERNANDEZ (PRESIDENT) |
| Authorized Official Telephone | 7862828983 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME83014 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4101 NW 4TH ST SUITE 208 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33317-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235124629 | Andrew S Ellowitz | Orthopaedic Surgery | 4101 Nw 4th St, Suite 305, Plantation, FL 33317-2850 | 2005-09-13 |
| 1386141414 | Jessica Saint Clair | Nurse Practitioner | 4101 Nw 4th St, Plantation, FL 33317-2850 | 2018-04-05 |
| 1043757537 | Alan Bruce Dautch, Pa | Chiropractor | 4101 Nw 4th St, #208, Plantation, FL 33317-2850 | 2017-01-23 |
| 1750779682 | Claudine Mckenzie | Nurse Practitioner | 4101 Nw 4th St, Suite 200, Plantation, FL 33317-2850 | 2014-12-30 |
| 1073941324 | Syretta Morris | Nurse Practitioner | 4101 Nw 4th St, Suite 306, Plantation, FL 33317-2850 | 2013-10-24 |
| 1154762771 | Injury Treatment Center of Coral Springs, Inc. | Non-Pharmacy Dispensing Site | 4101 Nw 4th St, #208, Plantation, FL 33317-2850 | 2013-07-11 |
| 1235472671 | Genestem | Clinic/Center | 4101 Nw 4th St, Suite 211, Plantation, FL 33317-2850 | 2013-04-04 |
| 1710226055 | Michelle Margaret Roachford | Nurse Practitioner | 4101 Nw 4th St, Suite 306, Plantation, FL 33317-2850 | 2013-02-06 |
| 1891046199 | Jacqueline E. Smith Md. Pa | Ophthalmology | 4101 Nw 4th St, Suite 409, Plantation, FL 33317-2850 | 2012-09-26 |
| 1861748717 | Vicky Jasmine Marsh | Family Medicine | 4101 Nw 4th St, Suite 211, Plantation, FL 33317-2850 | 2012-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704434 | Md Now Medical Centers Inc | Clinic/Center | 4640 W Commercial Blvd, Tamarac, FL 33317 | 2019-08-06 |
| 1902348675 | Atroypen Group, Inc | Case Management | 4330 W Broward Blvd Ste R, Plantation, FL 33317 | 2016-11-13 |
| 1417329665 | Marie Eronne Jean Charles | Nurse Practitioner | 6901 Cypress Road, Plantation, FL 33317 | 2015-10-28 |
| 1871977025 | Yanliceth Rodriguez | Clinic/Center | 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 | 2015-07-17 |
| 1710361472 | Melissa Coffman | Physician Assistant | 960 Sw 74th Avenue, Plantation, FL 33317 | 2015-07-13 |
| 1134511058 | Emad Ziaden | Physical Therapist | 747 S. State Rd 7, Plantation, FL 33317 | 2015-03-02 |
| 1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
| 1821427675 | Mankame, Dipak M., D.d.s., P.a. | Dentist | 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 | 2013-11-02 |
| 1679828826 | Kozy Kove Assisted Living Facility | Assisted Living Facility | 490 Nw 45 Terr, Plantation, FL 33317 | 2012-07-13 |
| 1205102845 | Aratha Franklin Dixon | Psychologist | 4121 Nw 5th # 207, Plantation, FL 33317 | 2012-03-28 |
| Find all providers in zip 33317 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114049848 | Gary L Fishman | Psychiatry & Neurology | 120 South University Drive, Suite D, Plantation, FL 33324-3346 | 2007-04-04 |
| 1174547251 | Luis Martin Salcedo | Psychiatry & Neurology | 1301 Sw 82nd Ave, 2016, Plantation, FL 33324-3227 | 2006-07-26 |
| 1841223559 | Ramsey Pevsner | Psychiatry & Neurology | 120 S University Dr, Ste D, Plantation, FL 33324-3356 | 2006-07-08 |
| 1326389131 | Keller Simon Healthcare & Associates, LLC | Psychiatry & Neurology | 7469 Nw 4th St, Plantation, FL 33317-2216 | 2013-03-05 |
| 1457639429 | Alvaro G Manotas Md Pa | Psychiatry & Neurology | 817 S University Dr, Suite 120, Plantation, FL 33324-3309 | 2011-07-25 |
| 1669776159 | Ignacio Lopez-merino, M.d., Pa | Psychiatry & Neurology | 7050 Nw 4th St, Suite#304, Plantation, FL 33317-2247 | 2010-12-27 |
| 1376685354 | David Roy Kramer | Psychiatry & Neurology | 350 Nw 70th Ave, Plantation, FL 33317-2349 | 2007-02-13 |
| 1245306810 | Nathaniel Keller Md Pa | Psychiatry & Neurology | 7469 Nw 4th St, Plantation, FL 33317-2216 | 2006-11-27 |
| 1639254147 | Robert Fitzgerald Vassall | Psychiatry & Neurology | 8201 Peters Rd, Suite 1000, Plantation, FL 33324-3265 | 2006-10-25 |
| 1265466106 | Ignacio Lopez-merino | Psychiatry & Neurology | 7050 Nw 4th St, #304, Plantation, FL 33317-2247 | 2006-07-10 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33317 |
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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.