HERNAN SIERRA FERNANDEZ (NPI# 1104074749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104074749 |
| Entity Type | Individual |
| Full Name | HERNAN SIERRA FERNANDEZ |
| Credential | M.D. |
| Practice Address |
840 S Wood St Csb 1262, M/c 856 Chicago IL 60612-4325 |
| Mailing Address |
130 N Garland Ct Apt 1703 Chicago IL 60602-4768 |
| Practice Telephone | 3123553282 |
| Practice Fax Number | 3123555548 |
| Mailing Telephone | 3128104065 |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2020-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
A105435 | CA | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
036-120314 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2525 Chicago Ave, Minneapolis, MN 554044518 | 3128104065 | |
| 345 Smith Ave N, Saint Paul, MN 551022346 | 3128104065 |
| Street Address |
840 S WOOD ST CSB 1262, M/C 856 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-4325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354656 | Frederick G. Behm | Pathology | 840 S Wood St, Department of Pathology, Mc847, Chicago, IL 60612-4325 | 2005-05-23 |
| 1467065581 | Monica Joan Gingell | Nurse Practitioner | 840 S Wood St, Chicago, IL 60612-4325 | 2020-08-28 |
| 1003435926 | Kyle Corso Mork | Pharmacist | 840 S Wood St, Chicago, IL 60612-4325 | 2020-04-10 |
| 1841828282 | Hovig Chelebian | Student in an Organized Health Care Education/Training Program | 840 S Wood St, Chicago, IL 60612-4325 | 2020-03-31 |
| 1417585787 | Mehul Gilani | Student in an Organized Health Care Education/Training Program | 840 S Wood St, Chicago, IL 60612-4325 | 2020-03-31 |
| 1730736356 | Alice Zalan | Genetic Counselor, MS | 840 S Wood St, Chicago, IL 60612-4325 | 2019-08-19 |
| 1972155547 | Lenika De Simone | Genetic Counselor, MS | 840 S Wood St, Chicago, IL 60612-4325 | 2019-07-12 |
| 1528629961 | Melissa Duckett | Nurse Practitioner | 840 S Wood St, Chicago, IL 60612-4325 | 2019-06-26 |
| 1629631098 | Jonathan Alverio | Student in an Organized Health Care Education/Training Program | 840 S Wood St, Chicago, IL 60612-4325 | 2019-04-20 |
| 1225598766 | Daphne Porat | Student in an Organized Health Care Education/Training Program | 840 S Wood St, Chicago, IL 60612-4325 | 2019-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669806667 | Ricardo Tomas Rosenkranz | Pediatrics | 1200 N Lake Shore Dr, Apt. 904, Chicago, IL 60610-2370 | 2013-08-26 |
| 1780979302 | Kelly Nelson Kelly | Pediatrics | 5841 S Maryland Ave # Mc6060, Chicago, IL 60637-1447 | 2011-06-11 |
| 1023294519 | Center for Autonomic Medicine In Pediatrics | Pediatrics | 2300 N Childrens Plz # 64, Chicago, IL 60614-3363 | 2008-01-14 |
| 1780807925 | Daniel T Robinson | Pediatrics | Children's Memorial Hospital, Division of Neonatology, 2300 Children's Plaza, Box 45, Chicago, IL 60614 | 2007-04-10 |
| 1134207111 | Northside Neonatal and Infant Care Sc | Pediatrics | 836 W Wellington, Chicago, IL 60657 | 2006-11-01 |
| 1124106109 | Ramakrishna Velamati | Pediatrics | 2900 N Lakeshore Drive, Chicago, IL 60657 | 2006-11-01 |
| 1245284504 | Maria Luz V Dizon | Pediatrics | Box #45, 2300 Childrens Plaza, Chicago, IL 60614-3394 | 2006-05-20 |
| 1588617435 | Kathryn N Farrow | Pediatrics | Box 45, Childrens Memorial Hospital 2300 Childrens Plaza, Chicago, IL 60614-3394 | 2006-05-19 |
| 1487607891 | Beverley Robin | Pediatrics | 1464 S Michigan Ave, Suite 1304, Chicago, IL 60605-3711 | 2006-05-18 |
| 1407809908 | Isabelle G De Plaen | Pediatrics | 225 E Chicago Ave # 45, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611-2605 | 2006-05-18 |
| Find all providers in CHICAGO | ||||
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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.