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JESUS FERNANDO HERNANDEZ MD NPI 1073591475


NPI Information

NPI: 1073591475
Provider Name: JESUS FERNANDO HERNANDEZ, MD
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
803 N SALK DR
CASA GRANDE, AZ
ZIP 85222
Phone: (520) 836-6682
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Jesus Fernando Hernandez, MD is a specialist in Casa Grande, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jesus Fernando Hernandez, MD NPI is 1073591475. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

803 N SALK DR
CASA GRANDE, AZ
ZIP 85222-447
Phone: (520) 836-6682
Fax: (520) 836-6703

The enumeration date for this NPI number is 1/5/2006 and was last updated on 11/1/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist29091ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1632390MEDICAIDARIZONA
2WCSKQOTHERARIZONASUN HEALTH GRP#
3Z112963MEDICARE PINARIZONA
4Z112962MEDICARE PINARIZONA
5H53239MEDICARE UPINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.