DR. JOSE J. HERNANDEZ (NPI# 1255561627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255561627 |
Entity Type | Individual |
Full Name | DR. JOSE J. HERNANDEZ |
Credential | MD |
Practice Address |
1608 Main St Conway SC 29526-3572 |
Mailing Address |
1708 Oak St Conway SC 29526-3086 |
Practice Telephone | 8432484700 |
Mailing Telephone | 1842484700 |
Mailing Fax Number | 8433908329 |
Enumeration Date | 2009-07-20 |
Last Update Date | 2018-11-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 32074 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 320744 | 05 | |
SC | MEDICARE PTAN | AA67448552 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316562093 | Jose Antonio Hernandez | Family Medicine | Calle Monsenor #3 Moca Puerto Rico 00676, Calle Reinita #30 Moca Puerto Rico 00676, Moca, PR 00676 | 2020-06-09 |
1407415847 | Jose Hernandez | Counselor | 12200 Tech Rd Ste 330, Silver Spring, MD 20904-1913 | 2019-06-10 |
1689149213 | Jose Alejandro Hernandez | Pharmacist | 1110 Sunland Park Dr, El Paso, TX 79922-1379 | 2018-10-10 |
1992251532 | Jose German Hernandez | Counselor | 4083 Blue Rock Dr Ne, East Wenatchee, WA 98802-9000 | 2016-09-01 |
1518327279 | Jose Enerdo Hernandez | General Practice | 9401 Sw 26 Street, Miami, FL 33165 | 2016-02-24 |
1427422567 | Jose Hernandez | Home Health Aide | 900 N Clark Dr, El Paso, TX 79905-2127 | 2015-11-29 |
1942619325 | Jose Alfredo Hernandez | Physician Assistant | 3233 Lanfranco St, Los Angeles, CA 90063-3138 | 2014-08-11 |
1578808622 | Jose Hernandez | Massage Therapist | 2710 W 10 Th Ave Apt 12, Hialeah, FL 33010 | 2012-11-30 |
1871853085 | Jose Saul Hernandez | Home Health Aide | 5132 7th St Nw, Washington, DC 20011-4016 | 2012-05-22 |
1619248267 | Jose L Hernandez | Clinic/Center | 8000 Sw 210th St Apto 204, Cutler Bay, FL 33189-4035 | 2012-01-13 |
Street Address |
1608 MAIN ST |
City | CONWAY |
State | SC |
Zip Code | 29526-3572 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073518528 | Joseph Hamilton Odom | Pharmacist | 1608 Main St, Conway, SC 29526-3572 | 2005-06-20 |
1568083210 | Kristen Mottey | Social Worker | 1608 Main St, Conway, SC 29526-3572 | 2020-05-05 |
1942832050 | Stephanie Jayne Ball | Social Worker | 1608 Main St, Conway, SC 29526-3572 | 2020-02-06 |
1295229656 | Kaitlin Elizabeth Hojnowski | Social Worker | 1608 Main St, Conway, SC 29526-3572 | 2018-06-19 |
1245742782 | Linda Leeko Hudson | Nurse Practitioner | 1608 Main St, Conway, SC 29526-3572 | 2017-10-24 |
1306382304 | Lindsey Brooke Jernigan | Nurse Practitioner | 1608 Main St, Conway, SC 29526-3572 | 2017-01-13 |
1144637166 | Amanda Gerrald | Nurse Practitioner | 1608 Main St, Conway, SC 29526-3572 | 2014-07-22 |
1518238591 | Lina Abdelmajid Hajar | Specialist | 1608 Main St, 15c, Box No 87, Conway, SC 29526-3572 | 2012-01-23 |
1336423193 | Health Care Partners of South Carolina, Inc. | Clinical Medical Laboratory | 1608 Main St, Conway, SC 29526-3572 | 2011-09-28 |
1609106392 | Shalini Gates | Nurse Practitioner | 1608 Main St, Conway, SC 29526-3572 | 2010-01-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
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Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710513957 | Conway Regional Medical Center, Inc | Family Medicine | 1700 Altus St Ste 110, Conway, AR 72032-4299 | 2020-03-19 |
1912543240 | University of Central Arkansas | Family Medicine | 201 Donaghey Ave Uca Student Health Center, Conway, AR 72035-5001 | 2019-11-21 |
1588012728 | Arkansas Health Group | Family Medicine | 625 United Dr Ste 120a, Conway, AR 72032-7826 | 2016-05-27 |
1477999282 | Michael Paul Carson | Family Medicine | 605 United Dr, Conway, AR 72032 | 2013-05-20 |
1427335835 | Brieanna R Breeding | Family Medicine | 2100 Meadowlake Rd Ste 10, Conway, AR 72032-2569 | 2011-11-14 |
1710217104 | Billy R Mcbay Md Pa | Family Medicine | 505 E Dave Ward Dr, Ste 3, Conway, AR 72032-7825 | 2010-01-06 |
1417118076 | Alexander Tyler | Family Medicine | 455 Elsinger Blvd, Conway, AR 72032-4716 | 2008-06-17 |
1336317593 | James L Floyd Jr. | Family Medicine | 128a Professional Park Place, Agape Physicians Care, Conway, SC 29526-9260 | 2008-02-11 |
1326246190 | Thad Ridge Hardin | Family Medicine | 2425 Dave Ward Dr Ste 401, Conway, AR 72034 | 2007-07-03 |
1235336959 | James Austin Capps Jr. | Family Medicine | Conway Interfaith Clinic, Inc, 830 North Creek Drive, Conway, AR 72032 | 2007-06-27 |
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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.