SHANDA LEIGH HERNANDEZ (NPI# 1427578889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427578889 |
| Entity Type | Individual |
| Full Name | SHANDA LEIGH HERNANDEZ |
| Credential | PA-C |
| Practice Address |
1631 11th St Wichita Falls TX 76301-4322 |
| Mailing Address |
5201 Central Fwy Apt 304 Wichita Falls TX 76306-1381 |
| Practice Telephone | 9406875000 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1631 11TH ST |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76301-4322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043298391 | Fardin Djafari | Internal Medicine | 1631 11th St, Wichita Falls, TX 76301-4320 | 2006-01-06 |
| 1043718349 | Beverly Dea Wills | Nurse Practitioner | 1631 11th St, Wichita Falls, TX 76301-4322 | 2018-02-01 |
| 1275067910 | Dsk Arrhythmia Services Pllc | Internal Medicine | 1631 11th St, Wichita Falls, TX 76301-4322 | 2017-04-19 |
| 1790227387 | Vedampattu P Ganeshram Md Pllc | Internal Medicine | 1631 11th St, Wichita Falls, TX 76301-4322 | 2016-11-14 |
| 1225410863 | Vineeth Viswanathan | Internal Medicine | 1631 11th St, Wichita Falls, TX 76301-4322 | 2015-06-19 |
| 1780065342 | Shaila A Shanchita | Family Medicine | 1631 11th St, Wichita Falls, TX 76301-4322 | 2015-06-09 |
| 1629208871 | Darpan Sahni Kumar | Internal Medicine | 1631 11th St, Wichita Falls, TX 76301-4322 | 2009-07-22 |
| 1306016225 | Wichita Heart and Vascular Center, Pllc | Internal Medicine | 1631 11th St, Suite A, Wichita Falls, TX 76301-4320 | 2008-03-06 |
| 1750474078 | Bruce Lee Palmer | Internal Medicine | 1631 11th St, Suite A, Wichita Falls, TX 76301-4320 | 2006-09-30 |
| 1821016676 | Andre P Desire, Md, Pa | Internal Medicine | 1631 11th St, Suite B, Wichita Falls, TX 76301-4320 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192991 | Rebecca Ashley Marin | Licensed Vocational Nurse | 909 8th Sreet, Ste 100, Wichita Falls, TX 76301 | 2020-04-16 |
| 1164077558 | Melissa Ann Marshall | Registered Nurse | 1717 Lucile Ave, Wichita Falls, TX 76301 | 2019-08-02 |
| 1841760659 | Edward Scott Hamilton | Psychologist | 710 Lamar St., Wichita Falls, TX 76301 | 2018-12-05 |
| 1457872681 | Jennyfer A Rosado | Counselor | 719 Scott Ave Ste 610, Wichita Falls, TX 76301 | 2017-06-28 |
| 1023547676 | Cale David Lennard | Dentist | 2405 9th St Ste A, Wichita Falls, TX 76301 | 2017-06-07 |
| 1790198455 | Tongle Yu | Family Medicine | 1301 Third St, Suite 200, Wichita Falls, TX 76301 | 2014-06-10 |
| 1821412081 | Jennifer Burbage | Nurse Practitioner | 1700 3rd Street, Wichita Falls, TX 76301 | 2014-02-09 |
| 1275871568 | Jeffrey John Papak | Pharmacy Technician | 1610 9th Street, Wichita Falls, TX 76301 | 2013-01-22 |
| 1679826853 | Cheryl Denise Williams | Clinical Nurse Specialist | 1605 10th Street, Wichita Falls, TX 76301 | 2012-10-24 |
| 1902199250 | Tilahun Worku Belay | Internal Medicine | 1631 11th St Unit B, Wichita Falls, TX 76301 | 2011-05-19 |
| Find all providers in zip 76301 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851324917 | Angela D Styles | Physician Assistant | 1518 9th St, Wichita Falls, TX 76301 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133340 | Mark Alan Williams | Physician Assistant | 4814 Lake Livingston Dr, Corpus Christi, TX 78413-5139 | 2020-10-28 |
| 1669081238 | Manuel V Leyva | Physician Assistant | 8407 Sunset Loch Dr, Spring, TX 77379-5121 | 2020-07-29 |
| 1194342212 | Sean Robert Jamieson | Physician Assistant | 2700 E Broad St Ste 200, Mansfield, TX 76063-5899 | 2020-07-06 |
| 1588284194 | Hill Country Surgical Management, Inc | Physician Assistant | 10454 Tippecanoe, San Antonio, TX 78245-3128 | 2020-04-23 |
| 1407475585 | Serenity Surgical Services | Physician Assistant | 3260 Springbok Cir, Frisco, TX 75034-3671 | 2020-04-09 |
| 1720610470 | Surgical Assistants of South Texas | Physician Assistant | 3414 Highway 146 S, La Porte, TX 77571-7400 | 2020-02-11 |
| 1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
| 1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
| 1912558693 | Chandrant Akshar Pa | Physician Assistant | 400 W Arbrook Blvd Ste 230, Arlington, TX 76014-3174 | 2019-09-24 |
| 1700435831 | Christina A Vogel-rosbrook | Physician Assistant | 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
| City | WICHITA FALLS |
| Zip Code | 76301 |
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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.