DR. ERIC MOORE HERNANDEZ (NPI# 1154514487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154514487 |
| Entity Type | Individual |
| Full Name | DR. ERIC MOORE HERNANDEZ |
| Credential | M.D., PH.D. |
| Practice Address |
101 Willmar Ave Sw Willmar MN 56201-3556 |
| Mailing Address |
2828 Chicago Avenue Suite 320 Minneapolis MN 55407-1544 |
| Practice Telephone | 3202315000 |
| Mailing Telephone | 6128791000 |
| Mailing Fax Number | 6128790788 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
50852 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104367051 | Eric Hernandez | Counselor | 223 Natalen Ave, Apartment 2, San Antonio, TX 78209-6782 | 2017-03-12 |
| 1477910990 | Eric Hernandez | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2016-01-28 |
| 1912210790 | Eric Villapa Hernandez | Occupational Therapist | 1400 E Ridge Rd, Suite 1, Mcallen, TX 78503-1535 | 2010-07-21 |
| 1861624090 | Eric Marin Hernandez | Dietitian, Registered | 2100 Webster Street, Suite 100, San Francisco, CA 94115 | 2009-08-21 |
| 1124288089 | Eric James Hernandez | Family Medicine | 1949 Pearl St, Boulder, CO 80302-4496 | 2008-06-13 |
| Street Address |
101 WILLMAR AVE SW |
| City | WILLMAR |
| State | MN |
| Zip Code | 56201-3556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004514 | Gregory M Macik | Optometrist | 101 Willmar Ave Sw, Affiliated Community Medical Centers, Willmar, MN 56201 | 2005-06-28 |
| 1356956601 | Crystal Lynn Fleischhacker | Nurse Practitioner | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2020-09-14 |
| 1730798760 | Katherine Anderson | Pharmacist | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2020-07-27 |
| 1861015786 | Madalyn Marie Vohnoutka | Physician Assistant | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2020-05-27 |
| 1811526403 | Meagan A Hoflock | Nurse Practitioner | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2020-04-06 |
| 1124657150 | Carris Health LLC | Clinic/Center | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2020-04-02 |
| 1689209900 | Sophie Sharon Reecher | Physician Assistant | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2020-03-06 |
| 1285267922 | Kavitha Malango | Nurse Practitioner | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2020-02-21 |
| 1972147858 | Jamie Kalean Erickson | Pharmacist | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2019-11-04 |
| 1124660865 | Carris Health LLC | Durable Medical Equipment & Medical Supplies | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2019-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793472 | Sarah Erickson | Counselor | 2120 60th Ave N.w., Willmar, MN 56201 | 2020-09-01 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1154856524 | Mude Transportation Inc | Non-emergency Medical Transport (VAN) | 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 | 2017-04-24 |
| 1285025874 | Jill Fellows | Occupational Therapist | 611 5th St. Sw, Willmar, MN 56201 | 2015-02-18 |
| 1700294881 | Brenda Wiese | Counselor | 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 | 2014-08-01 |
| 1275955932 | Courtney Regnier | Marriage & Family Therapist | 2320 E Hwy 12 Ste 2, Willmar, MN 56201 | 2014-01-15 |
| 1568732402 | Pamela Jean Kubesh | Social Worker | 328 Sw 3rd Street, Willmar, MN 56201 | 2012-01-10 |
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1700053345 | Nathan Schrick | Marriage & Family Therapist | 513 Sw 5th Street, Box 1810, Willmar, MN 56201 | 2008-05-13 |
| 1831381680 | Joan M Blonigan Christianson | Chiropractor | 1101 S 1st Street, Willmar, MN 56201 | 2007-08-15 |
| Find all providers in zip 56201 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588630800 | Merlin V Nelson | Psychiatry & Neurology | 101 Willmar Ave Sw, Willmar, MN 56201 | 2006-02-27 |
| 1376521021 | Andrew P Chang | Psychiatry & Neurology | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905251 | Nexus | Psychiatry & Neurology | 2121 Campus Dr Se, Rochester, MN 55904-4744 | 2020-09-02 |
| 1669995528 | Malik Ghannam | Psychiatry & Neurology | 701 15th Ave Se, Minneapolis, MN 55414-4047 | 2017-07-24 |
| 1477903995 | James Albert Zeese Jr. | Psychiatry & Neurology | 2401 Laurel Avenue, Minneapolis, MN 55405 | 2016-06-15 |
| 1265790414 | Brian Michael Krasnow | Psychiatry & Neurology | 1746 Hillcrest Avenue, Saint Paul, MN 55116-2151 | 2012-04-25 |
| 1699079533 | Gilbert Westreich | Psychiatry & Neurology | 1779 Emerson Ave South, Minneapolis, MN 55403-2909 | 2011-01-07 |
| 1720233570 | West Central Neurology Pa | Psychiatry & Neurology | 11521 312th Ave, Princeton, MN 55371-3423 | 2008-11-20 |
| 1235388521 | Donald W Klass | Psychiatry & Neurology | 956 14th Ave Sw, Rochester, MN 55902-2078 | 2008-09-11 |
| 1598929267 | Frank Wilson Sharbrough IIi | Psychiatry & Neurology | 814 8th Ave Sw, Rochester, MN 55902-6308 | 2008-07-11 |
| 1881855187 | Kenneth James Shea IIi | Psychiatry & Neurology | 3540 17th Ave S, Saint Cloud, MN 56301-9664 | 2008-06-19 |
| 1275792293 | Ali Emami | Psychiatry & Neurology | 310 Smith Ave N Ste 440, Saint Paul, MN 55102-2316 | 2008-06-05 |
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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.