Eddie A Fernandez (NPI# 1083657761, PAC ID# 9133221963) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
Nation Provider ID (NPI) | 1083657761 |
PAC ID by PECOS | 9133221963 |
Professional Enrollment ID | I20070226000628 |
Full Name | Eddie A Fernandez |
Organization Legal Name | CENTER FOR VEIN RESTORATION MD LLC |
Address |
1160 Varnum St Ne Suite 104 Washington DC 20017-2106 |
Phone Number | 8558308346 |
Gender | M |
Credential | MD |
Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2003 |
Primary Specialty | EMERGENCY MEDICINE |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 8729022736 |
Number of Group Practice Members | 27 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
210004 | HOLY CROSS HOSPITAL |
Address | Phone | Organization |
---|---|---|
2000 N Beauregard St, Suite 310, Alexandria, VA 22311-1749 | 8558308346 | CENTER FOR VEIN RESTORATION MD LLC |
7300 Hanover Dr, Suite 103, Greenbelt, MD 20770-2250 | 8556308346 | CENTER FOR VEIN RESTORATION MD LLC |
831 University Blvd E, Suite 25, Silver Spring, MD 20903-2920 | 8558308346 | CENTER FOR VEIN RESTORATION MD LLC |
1160 Varnum St Ne, Suite 104, Washington, DC 20017-2106 | 8558308346 | CENTER FOR VEIN RESTORATION MD LLC |
Organization Legal Name | CENTER FOR VEIN RESTORATION MD LLC |
Physicians | 20 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard B Nguyen | Emergency Medicine | Center for Vein Restoration Md LLC | 2000 N Beauregard St, Suite 310, Alexandria, VA 22311-1749 |
Shekeeb Sufian | Vascular Surgery | Center for Vein Restoration Md LLC | 12107 Old Line Ctr, Waldorf, MD 20602-2552 |
Alfred G Jump | Emergency Medicine | Center for Vein Restoration Md LLC | 7300 Hanover Dr, Suite 103, Greenbelt, MD 20770-2250 |
Duc T Le | Emergency Medicine | Center for Vein Restoration Md LLC | 1600 Crain Hwy S, Suite 408, Glen Burnie, MD 21061-6437 |
Keith C Nichols | Emergency Medicine | Center for Vein Restoration Md LLC | 2000 N Beauregard St, Suite 310, Alexandria, VA 22311-1749 |
Dov Frankel | Emergency Medicine | Center for Vein Restoration Md LLC | 1600 Crain Hwy S, Suite 408, Glen Burnie, MD 21061-6437 |
Anuj A Shah | Emergency Medicine | Center for Vein Restoration Md LLC | 831 University Blvd E, Suite 25, Silver Spring, MD 20903-2920 |
Imani C Chisley-pittmon | Nurse Practitioner | Center for Vein Restoration Md LLC | 1600 Crain Hwy S, Suite 408, Glen Burnie, MD 21061-6437 |
Geeta S Nath | Occupational Therapy | Center for Vein Restoration Md LLC | 1600 Crain Hwy S, Suite 408, Glen Burnie, MD 21061-6437 |
Seema P Kumar | Internal Medicine | Center for Vein Restoration Md LLC | 7300 Hanover Dr, Suite 103, Greenbelt, MD 20770-2250 |
Street Address |
1160 VARNUM ST NE SUITE 104 |
City | WASHINGTON |
State | DC |
Zip | 20017-2106 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anita Kunwar | Internal Medicine | Providence Health Services Inc | 1160 Varnum St Ne, Depaul 021, Washington, DC 20017-2107 |
Jessica N Stillman | Psychologist, Clinical | The Neurology Center | 1160 Varnum St Ne, Suite 204, Washington, DC 20017-2103 |
Dal Yoo | Medical Oncology | 1160 Varnum St Ne, Suite 318, Washington, DC 20017-2103 | |
Jesse Gabriel Brand | Psychologist, Clinical | The Neurology Center | 1160 Varnum St Ne, Suite 204, Washington, DC 20017-2103 |
Earl M Armstrong | Pulmonary Disease | Pulmonary Critical Care Associates, PC | 1160 Varnum St Ne, Suite 214, Washington, DC 20017-2107 |
Harminder S Sethi | Hematology/oncology | 1160 Varnum St Ne, Suite 318, Washington, DC 20017-2103 | |
Edwin S Williams | Family Medicine | Gerald Family Care | 1160 Varnum St Ne, Suite 117, Washington, DC 20017-2107 |
Victoria Fedorova | Geriatric Medicine | Providence Health Services Inc | 1160 Varnum St Ne, Depaul 021, Washington, DC 20017-2107 |
Anthony I Ibe | Family Medicine | Ibe Medical Associate PC | 1160 Varnum St Ne, Suite 106, Washington, DC 20017-2106 |
James L Davis | Internal Medicine | 1160 Varnum St Ne, Suite 311, Washington, DC 20017-2103 | |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Aisha M Ellis | Nurse Practitioner | Washington Hospital Center Corp | 216 Michigan Ave Ne, Washington, DC 20017-1095 |
Stuart Lawrence Horwitz | Gastroenterology | 4200 Harewood Nerd, Washington, DC 20017-1511 | |
Reginald Barnes | Ophthalmology | 4200 Harewood Rd Ne, Washington, DC 20017-1511 | |
Herman Q Green | Physical Therapy | Lifestyle Rehab and Wellness LLC | 4200 Harewood Rd Ne, Little Sisters of The Poor, Washington, DC 20017-1511 |
William Peterson | Neurology | 1140 Varnum St Ne, Suite 101, Washington, DC 20017-2100 | |
Rosetta T Hendricks | Nurse Practitioner | 1140 Varnum St Ne, Suite 106 Pmb, Washington, DC 20017-2100 | |
Mowaffak Alhamad | Thoracic Surgery | 1160 Varnum St N E, Suite 318, Washington, DC 20017-2103 | |
Lester M Miles | Internal Medicine | 1160 Varnum St Ne, Suite 306, Washington, DC 20017-2103 | |
Linda R Sapin | Psychologist, Clinical | The Neurology Center | 1160 Varnum St Ne, Suite 204, Washington, DC 20017-2103 |
Chang Ching Debbie Lin | Neurology | The Neurology Center | 1160 Varnum St Ne, Suite 204, Washington, DC 20017-2103 |
Find all physicians in zip 20017 |
City | WASHINGTON |
Zip Code | 20017 |
Specialty | EMERGENCY MEDICINE |
City + Specialty | WASHINGTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Eddie A Fernandez.
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.