Otniel Hernandez (NPI# 1003000720, PAC ID# 3870683139) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003000720 |
| PAC ID by PECOS | 3870683139 |
| Professional Enrollment ID | I20191113000196 |
| Full Name | Otniel Hernandez |
| Organization Legal Name | CAROLINA MEDICORP ENTERPRISES, INC. |
| Address |
3163 Gammon Ln Clemmons NC 27012-9052 |
| Phone Number | 3363105571 |
| Gender | M |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648174904 |
| Number of Group Practice Members | 105 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 445 S Kings Dr, Charlotte, NC 28204-3041 | 9803080141 | CAROLINA MEDICORP ENTERPRISES, INC. |
| 3163 Gammon Ln, Clemmons, NC 27012-9052 | 3363105571 | CAROLINA MEDICORP ENTERPRISES, INC. |
| Organization Legal Name | CAROLINA MEDICORP ENTERPRISES, INC. |
| Physicians | 100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenna Lee Cameron | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 1904 Jake Alexander W Blvd, Suite 301, Salisbury, NC 28147-1177 |
| Brent J Becnel | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 8540 Park Rd, Charlotte, NC 28210-5803 |
| Laura Campbell | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 6816 Matthews Mint Hill Rd, Suite 101, Mint Hill, NC 28227-9324 |
| Mariah L Butler | Physician Assistant | Carolina Medicorp Enterprises, Inc. | 600 Highland Oaks Dr, Winston Salem, NC 27103-7107 |
| William C Richardson Iii | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 2620 N Main St, Suite 109, High Point, NC 27265-2735 |
| Linda G Royston | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 1730 Woodlawn Rd, Suite D, Charlotte, NC 28209 |
| Robert K Beam | Family Medicine | Carolina Medicorp Enterprises, Inc. | 4136 Clemmons Rd, Clemmons, NC 27012-7520 |
| Marietta A Arocena | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 1122 Randolph St, Suite 110, Thomasville, NC 27360-5730 |
| Ashley S Vaughn | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 50 Miller St, Suite C, Winston Salem, NC 27104-4206 |
| Joy L Justice | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 7811 N Point Blvd, Winston Salem, NC 27106-3209 |
| Street Address |
3163 GAMMON LN |
| City | CLEMMONS |
| State | NC |
| Zip | 27012-9052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| G Laure Choiniere | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 3163 Gammon Ln, Clemmons, NC 27012-9052 |
| Manuel F Maldonado | Physician Assistant | Carolina Medicorp Enterprises, Inc. | 3163 Gammon Ln, Clemmons, NC 27012-9052 |
| Bradley L Laymon | Physician Assistant | Carolina Medicorp Enterprises, Inc. | 3163 Gammon Ln, Clemmons, NC 27012-9052 |
| Tracy L Wyngaard | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 3163 Gammon Ln, Clemmons, NC 27012-9052 |
| Ue Thao | Physician Assistant | Carolina Medicorp Enterprises, Inc. | 3163 Gammon Ln, Clemmons, NC 27012-9052 |
| Brandy L Embry | Physician Assistant | Carolina Medicorp Enterprises, Inc. | 3163 Gammon Ln, Clemmons, NC 27012-9052 |
| Won Gin Jackson Bowman | Physician Assistant | Carolina Medicorp Enterprises, Inc. | 3163 Gammon Ln, Clemmons, NC 27012-9052 |
| Lacy Danae Crane | Physician Assistant | Carolina Medicorp Enterprises, Inc. | 3163 Gammon Ln, Clemmons, NC 27012-9052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Lewis Craig Iii | Orthopedic Surgery | Orthocarolina, Pa | 2265 Lewisville Rd C, Clemmons, NC 27012 |
| Michael J Riccoboni | Chiropractic | 6774 River Ctr Dr, Clemmons, NC 27012-6745 | |
| William Jeffery Marshall | Psychiatry | Piedmont Psychiatric Associates | 2255 Lewisville Clemmons Rd, Suite E, Clemmons, NC 27012-7460 |
| Barbara O Morgan | Nurse Practitioner | Piedmont Psychiatric Associates | 2255 Lewisville Clemmons Rd, Suite E, Clemmons, NC 27012-7460 |
| Glen E Combs | Physician Assistant | Piedmont Psychiatric Associates | 2255 Lewisville Clemmons Rd, Suite E, Clemmons, NC 27012-7460 |
| Arie Mantin | Family Medicine | 2245 Lewisville Clemmons Rd, Suite C, Clemmons, NC 27012-7461 | |
| Anna E Nichols | Qualified Audiologist | Carolina Hearing Doctors, Inc. | 3780 Clemmons Rd, A, Clemmons, NC 27012-7515 |
| Carlon S Mills | Qualified Audiologist | Carolina Hearing Doctors, Inc. | 3780 Clemmons Rd, A, Clemmons, NC 27012-7515 |
| Robert K Beam | Family Medicine | Carolina Medicorp Enterprises, Inc. | 4136 Clemmons Rd, Clemmons, NC 27012-7520 |
| Danielle M Carter-adkins | Physician Assistant | Novant Medical Group Inc | 4130 Clemmons Rd, Clemmons, NC 27012-7520 |
| Find all physicians in zip 27012 | |||
| City | CLEMMONS |
| Zip Code | 27012 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLEMMONS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Otniel Hernandez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.