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CATHLEEN L HERNANDEZ PA NPI 1124088448


NPI Information

NPI: 1124088448
Provider Name: CATHLEEN L HERNANDEZ, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: NORTHSTARR CARDIOTHORACIC SURGERY LLC

PECOS Registration: Yes

Address:
9155 SW BARNES RD
SUITE 240
PORTLAND, OR
ZIP 97225
Phone: (503) 297-1419
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Cathleen L Hernandez, PA is a surgical physician assistant in Portland, OR with 22 years of experience. Cathleen L Hernandez, PA NPI is 1124088448. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9155 SW BARNES RD
SUITE 240
PORTLAND, OR
ZIP 97225-625
Phone: (503) 297-1419
Fax: (503) 216-2488

The NPI 1124088448 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Heart artery bypass to repair one artery (HCPCS:33533)

The enumeration date for this NPI number is 3/23/2006 and was last updated on 10/24/2007.


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
1363A00000XPhysician AssistantPA17443CALIFORNIANo
2363AS0400XPhysician AssistantSurgicalPA01239OREGONYes

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
1138662MEDICARE PINOREGON
2WPA17743BMEDICARE ID-TYPE UNSPECIFIED
3WPA17443AMEDICARE ID-TYPE UNSPECIFIED
4Q26877MEDICARE UPINCALIFORNIA
500PA174430MEDICAIDCALIFORNIA

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.