MR. MICHAEL WAYNE FERNANDEZ (NPI# 1154788065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154788065 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL WAYNE FERNANDEZ |
| Credential | MSW, CSWA |
| Practice Address |
1652 Nw Hughwood Ct Roseburg OR 97471-8844 |
| Practice Telephone | 5416733985 |
| Practice Fax Number | 5416738060 |
| Mailing Telephone | 5416733985 |
| Mailing Fax Number | 5416738060 |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A4578 | OR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3099 Ne Diamond Lake Blvd, Roseburg, OR 974703655 | 5416733469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124459326 | Michael Fernandez | Obstetrics & Gynecology | 13806 Khilani Ct, Tampa, FL 33624-6919 | 2013-12-12 |
| 1073845434 | Michael Fernandez | Chiropractor | 161 Russell Rd, Hurley, NY 12443-5515 | 2010-02-09 |
| 1457455081 | Michael Anthony Fernandez | Dentist | 148 Loreta St Ste B, Dededo, GU 96929-5376 | 2006-09-12 |
| 1942235304 | Michael Edward Fernandez | Specialist/Technologist | 1202 W Edinger Ave, Santa Ana, CA 92707-2126 | 2006-07-12 |
| 1740229590 | Michael A Fernandez | Chiropractor | 6295 Old Harding Hwy, Mays Landing, NJ 08330-1558 | 2006-06-06 |
| 1104438431 | Michael L Fernandez | Rehabilitation Practitioner | 2243 N Mountain Ave, Claremont, CA 91711-1586 | 2020-08-18 |
| 1154930493 | Michael Josue Fernandez | Counselor | 11105 Ne 14th St Ste 103, Vancouver, WA 98684-4309 | 2020-07-22 |
| 1750921649 | Michael A Fernandez | Physical Therapist | 134 Homer Ave, Cortland, NY 13045-1206 | 2020-01-09 |
| 1992995401 | Michael A. Fernandez | Case Manager/Care Coordinator | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-07-31 |
| 1891917092 | Michael Fernandez | Orthopaedic Surgery | 3399 Trindle Road, Camp Hill, PA 17011 | 2007-05-03 |
| Street Address |
1652 NW HUGHWOOD CT |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-8844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376693721 | Judith Karen Eckstein | Psychologist | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2007-01-10 |
| 1891303152 | Roger Kennedy | Counselor | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2020-07-22 |
| 1235782293 | Mark A Saren | Counselor | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2019-07-18 |
| 1295399731 | Zarasun Pond | Social Worker | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2019-04-30 |
| 1144771320 | Susan Michele Mclaughlin | Counselor | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2016-10-21 |
| 1942616537 | Tania Welikala | Social Worker | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2014-07-03 |
| 1548534894 | Katie Jayne Benton Kenney | Counselor | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2012-03-05 |
| 1598897084 | Lawrence J Flanagan | Psychologist | 1652 Nw Hughwood Ct, Roseburg, OR 97470-8844 | 2007-03-10 |
| 1437299534 | Gloria M Mccrea | Counselor | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2007-02-07 |
| 1760520456 | Bryan Mccrea | Counselor | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2007-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467063990 | Kayla Wright | Counselor | 205 Se Jackson St, Roseburg, OR 97470-3341 | 2020-08-10 |
| 1760092480 | Rob Salerno | Counselor | 1036 Se Douglas Ave # 105a, Roseburg, OR 97470-3317 | 2020-08-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1962710095 | Daniel E Strasser | Counselor | 127 Agape Ct, Roseburg, OR 97471-2292 | 2010-09-23 |
| 1013244599 | Randy Olander | Counselor | 545 W Umpqua St, Suite 1, Roseburg, OR 97471-2972 | 2009-11-04 |
| 1831248491 | Piper Sullivan | Counselor | 517 W Shenandoah St, Roseburg, OR 97471-2566 | 2007-01-10 |
| 1255431706 | Streamside Counseling Center | Counselor | 693 Ne Stephens St, Suite A, Roseburg, OR 97470-3192 | 2006-09-25 |
| 1649382623 | Sue Leslie Waite | Counselor | 270 Se Pine St, Roseburg, OR 97470-3130 | 2006-08-31 |
| 1730794884 | Paige Nicole Hosford | Counselor | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-14 |
| 1922612035 | Fatima Jalloh | Counselor | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-04 |
| Find all providers in ROSEBURG | ||||
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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.