MR. LUIS HERNANDEZ (NPI# 1417251372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417251372 |
| Entity Type | Individual |
| Full Name | MR. LUIS HERNANDEZ |
| Credential | P.A. |
| Practice Address |
4802 S 109th East Ave Tulsa OK 74146-5822 |
| Practice Telephone | 9183921400 |
| Practice Fax Number | 9183921488 |
| Mailing Telephone | 9183921400 |
| Mailing Fax Number | 9183921488 |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1997 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134753601 | Luis Ariel Hernandez | Community/Behavioral Health | 6000 Fairview Rd # 1259, Charlotte, NC 28210-2224 | 2020-02-24 |
| 1871152389 | Luis Daniel Hernandez | Social Worker | 1819 Peachtree Rd Ne Ste 450, Atlanta, GA 30309-1853 | 2019-06-08 |
| 1811469547 | Luis Gilberto Hernandez | Psychologist | 2667 Brahms Ave, San Jose, CA 95122-1306 | 2018-12-19 |
| 1841786977 | Luis Manuel Hernandez | Dental Assistant | 4825 Oak St, Pico Rivera, CA 90660-2249 | 2018-07-01 |
| 1942797113 | Luis Hernandez | Counselor | 2446 Lea Crest Dr, Dallas, TX 75216-5822 | 2018-04-13 |
| 1144527466 | Luis Hernandez | Internal Medicine | 1861 Nw South River Dr, Ph11, Miami, FL 33125-2700 | 2011-02-23 |
| 1275839185 | Luis E Hernandez | Non-emergency Medical Transport (VAN) | 6621 Bloomington Ave S, Richfield, MN 55423 | 2011-02-10 |
| 1265746440 | Luis Alberto Hernandez | Counselor | Estension Del Carmen C1 00795, Juana Diaz, PR 00795-0000 | 2010-07-30 |
| 1245463280 | Luis Martin Hernandez | Counselor | 1820 S Central St Ste B, Visalia, CA 93277-4418 | 2009-08-25 |
| 1205078649 | Luis Oscar Hernandez IIi | Surgery | 7765 Sw 87th Avenue, 212, Miami, FL 33173 | 2009-03-31 |
| Street Address |
4802 S 109TH EAST AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74146-5822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275500415 | Jaafar M Bazih | Orthopaedic Surgery | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2006-03-07 |
| 1285294710 | Tbj Advanced Care LLC | Orthopaedic Surgery | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2019-06-17 |
| 1003391905 | Rebecca Holland | Physician Assistant | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2018-09-27 |
| 1730685314 | Johnathon David Millwee | Specialist/Technologist | 4802 S 109th East Ave, Tulsa, OK 74146 | 2018-04-03 |
| 1124400064 | Craig Stewart | Physical Therapist | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2015-06-28 |
| 1396155222 | Rey Amezquita | Orthotist | 4802 S 109th East Ave, Brace Shop, Tulsa, OK 74146-5822 | 2014-04-30 |
| 1700223070 | Thomas Calvin Blair IIi | Physical Therapist | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2013-05-28 |
| 1396082137 | Ashley Linn Legg | Physician Assistant | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2013-01-14 |
| 1720306277 | Jason Griffin | Orthopaedic Surgery | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2010-05-07 |
| 1568784957 | Jessica Rey Childe | Orthopaedic Surgery | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2010-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
| 1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
| 1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
| 1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
| Find all providers in zip 74146 | ||||
| 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 |
|---|---|---|---|---|
| 1720620487 | Taehee Strauss | Physician Assistant | 5229 S Harvard Ave Apt H, Tulsa, OK 74135-3551 | 2019-10-15 |
| 1871134163 | Claire Anne Kifer | Physician Assistant | 155 E 29th Pl, Tulsa, OK 74114-5201 | 2019-10-08 |
| 1033750328 | Jazmine Denise Nicole Manns | Physician Assistant | 9132 E 37th Ct, Tulsa, OK 74145-3415 | 2019-10-08 |
| 1295376523 | Emily Montana Bergeron | Physician Assistant | 1417 W 78th St Apt 1213, Tulsa, OK 74132-4633 | 2019-10-08 |
| 1295376325 | Reagan Hahn | Physician Assistant | 7746 Riverside Pkwy Apt 203, Tulsa, OK 74136-7677 | 2019-09-30 |
| 1881245082 | Miranda Hamilton | Physician Assistant | 3726 E 43rd St, Tulsa, OK 74135-2743 | 2019-09-27 |
| 1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
| 1831740018 | Savannah Payne | Physician Assistant | 7734 Riverside Pkwy Apt 207f, Tulsa, OK 74136-7371 | 2019-09-27 |
| 1366093759 | Garrett Blubaugh | Physician Assistant | 8307 E 60th St Apt 2127, Tulsa, OK 74145-5014 | 2019-09-26 |
| 1649821547 | Madison Snow | Physician Assistant | 7734 Riverside Pkwy # 207, Tulsa, OK 74136-7670 | 2019-09-23 |
| Find all providers in TULSA | ||||
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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.