BERNARDO FERNANDEZ (NPI# 1093367344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093367344 |
| Entity Type | Individual |
| Full Name | BERNARDO FERNANDEZ |
| Practice Address |
2641 E Stringham Ave Apt 303c Slc UT 84109-3984 |
| Practice Telephone | 5599062823 |
| Mailing Telephone | 5599062823 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 11952470-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275593832 | Bernardo Fernandez Jr. | Internal Medicine | 1500 San Remo Ave, Suite 360, Coral Gables, FL 33146-3043 | 2006-03-27 |
| 1609340587 | Bernardo Fernandez | Social Worker | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2019-01-14 |
| 1134188782 | Bernardo Fernandez | Internal Medicine | 2201 Hempstead Tpke, East Meadow, NY 11554-1859 | 2006-03-22 |
| Street Address |
2641 E STRINGHAM AVE APT 303C |
| City | SLC |
| State | UT |
| Zip Code | 84109-3984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102095 | Aimee Hadfield | Social Worker | Hearten House, 314 W. Broadway #222, Salt Lake City, UT 84109 | 2020-07-23 |
| 1245877448 | Carla Lucile Applegate-anderson | Nurse Practitioner | 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 | 2019-12-06 |
| 1063991982 | Madison Sanderson | Physical Therapist | 2295 S Foothill Dr Ste 1, Salt Lake City, UT 84109 | 2018-08-10 |
| 1023545951 | Tyler Dale Hanks | Dentist | 2435 E 3300 S, Suite 101, Millcreek, UT 84109 | 2017-05-23 |
| 1992198881 | Cynthia R Thorpe | Marriage & Family Therapist | 2624 East Mount Crest Drive, Salt Lake City, UT 84109 | 2015-03-17 |
| 1104247295 | John Paul Lapine | Dentist | 3865 South 3500 East Ste. 201, Salt Lake City, UT 84109 | 2013-12-17 |
| 1073850301 | Weston J Horne | Massage Therapist | 2760 South 1174 East, Suite 1d, Salt Lake City, UT 84109 | 2013-01-07 |
| 1538415138 | Dominic Falsone | Counselor | 3846 Villa Dr, Salt Lake City, UT 84109 | 2012-08-01 |
| 1487926341 | Richard R Flynn | Pediatrics | 2342 Dallin St., Salt Lake City, UT 84109 | 2012-02-07 |
| 1235449984 | Keyhan Koohgivi | Pharmacist | 2566 East Sage Way, Salt Lake City, UT 84109 | 2010-10-15 |
| Find all providers in zip 84109 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861961153 | Jeffery Michael Smith | Physician Assistant | 441 S Redwood Rd, Slc, UT 84104-3539 | 2018-11-16 |
| 1326523473 | Haley Eryn Maires | Physician Assistant | 100 N Mario Capecchi Dr, Slc, UT 84113-1103 | 2018-09-25 |
| 1396274015 | Lauren Joan Doner | Physician Assistant | 1950 Circle of Hope, 4th Floor, Slc, UT 84112-5550 | 2017-06-06 |
| 1477098416 | Megan Grace Muir | Physician Assistant | 1002 E South Temple, #508, Slc, UT 84102-1525 | 2016-12-29 |
| 1801340153 | Troy Richardson | Physician Assistant | 1388 S Navajo St, Slc, UT 84104-3493 | 2016-08-03 |
| 1649691551 | Nazaneen Pack | Physician Assistant | 324 Tenth Ave, Slc, UT 84103-2853 | 2013-12-18 |
| 1992052336 | Heather Rae Van Loon | Physician Assistant | 1950 Circle of Hope, Hch 4th Floor, Slc, UT 84112-5550 | 2012-08-03 |
| 1225395544 | Heather Lynn Walton | Physician Assistant | 2000 Circle of Hope, Clinic 2e, Slc, UT 84112-5550 | 2012-04-12 |
| 1982988176 | Micah Lawrence | Physician Assistant | 100 N Mario Capecchi Dr, Slc, UT 84113-1103 | 2011-10-05 |
| 1215077250 | Regan K. Brooks | Physician Assistant | 4252 Highland Dr., #200, Slc, UT 84124 | 2007-02-07 |
| Find all providers in SLC | ||||
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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.