JOHN FERNANDO


Address: 2505 Mission Dr, Jefferson City, MO 65109
Phone: 5736813000

JOHN FERNANDO (NPI# 1487049250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487049250
Entity Type Individual
Full Name JOHN FERNANDO
Practice Address 2505 Mission Dr
Jefferson City
MO 65109
Mailing Address 4508 Royal Lytham Dr
Columbia
MO 65203-5689
Practice Telephone 5736813000
Mailing Telephone 5733552429
Enumeration Date 2015-03-30
Last Update Date 2020-09-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 2018023711 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 2505 MISSION DR
City JEFFERSON CITY
State MO
Zip Code 65109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336140177 William Blake Rodgers Orthopaedic Surgery 2505 Mission Dr, Suite 200, Jefferson City, MO 65109-9508 2005-08-02
1447857370 Ssm Regional Health Services Clinic/Center 2505 Mission Dr, Jefferson City, MO 65109-9508 2020-10-05
1154937449 Taylor Donahue Nurse Practitioner 2505 Mission Dr, Jefferson City, MO 65109-9508 2020-09-22
1134744162 Zane Noel Hartgraves Nurse Anesthetist, Certified Registered 2505 Mission Dr, Jefferson City, MO 65109-9508 2020-06-16
1558924829 Lhcg Cxlviii, LLC Hospice Care, Community Based 2505 Mission Dr, Jefferson City, MO 65109-9508 2019-04-22
1780101477 Nathan David Wesche Pharmacist 2505 Mission Dr, Jefferson City, MO 65109-9508 2017-08-24
1396275624 Jenna Smith Social Worker 2505 Mission Dr, Jefferson City, MO 65109-9508 2017-06-19
1518324201 Martha Fuhrman Health Educator 2505 Mission Dr, Diabetes Education, Jefferson City, MO 65109-9508 2016-01-26
1922488931 Ssm Regional Health Services Specialist 2505 Mission Dr, Jefferson City, MO 65109-9508 2015-06-04
1336555275 Ssm Regional Health Services Clinic/Center 2505 Mission Dr, Suite 200, Jefferson City, MO 65109-9508 2014-07-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518449321 Kara D Roderick Physical Therapist 1115 Fairgrounds Road, Jefferson City, MO 65109 2018-08-29
1851871214 Integrative Medicine, LLC Internal Medicine 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 2018-08-15
1972020394 Rehab Care Group East, LLC Clinic/Center Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 2017-08-25
1124558986 Nicholas Rehagen Specialist/Technologist 304 Timber Creek Rd, Jefferson City, MO 65109 2017-06-14
1982004214 Kara Elizabeth Wilbers Occupational Therapist 1105 Fairgrounds Rd, Jefferson City, MO 65109 2014-08-22
1942510334 Loftin Eyecare, LLC Optometrist 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 2010-10-19
1306077250 Paula Hancock Johnson Social Worker 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 2009-07-27
1679701296 Capital Region Medical Center Family Medicine 3308 W Edgewood, Suite B, Jefferson City, MO 65109 2009-06-23
1972730141 Nancy S Stork Counselor 204 Metro, Suite B, Jefferson City, MO 65109 2009-06-16
1356522916 Walk Easy LLC Durable Medical Equipment & Medical Supplies 4810 Rainbow Dr., Jefferson City, MO 65109 2007-11-23
Find all providers in zip 65109

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851871214 Integrative Medicine, LLC Internal Medicine 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 2018-08-15
1821228388 Capital Region Medical Center Internal Medicine 999 Diamond Rdg, Suite 201, Jefferson City, MO 65109-6920 2009-07-19
1952560625 Summit Medical Group,pllc Internal Medicine 380 W Broadway Blvd, Jefferson City, TN 37760 2008-06-06
1316122245 Walter Christopher Coats Internal Medicine 3501 W Truman Blvd # A, Jefferson City, MO 65109-0514 2008-01-09
1851314215 Felipe B. Manalo Internal Medicine 115 Business Loop 70 W., Jefferson City, MO 65203 2006-07-26
1508896952 William J Williams Internal Medicine 1526 Meadow Spring Dr, Jefferson City, TN 37760-2041 2006-07-03
1447230131 James F. Tritz Internal Medicine 3501a West Truman Boulevard, Jefferson City, MO 65109 2006-01-19
1235117698 Sangeeta Jain-roberts Internal Medicine 1619 Paddlewheel Cir, Jefferson City, MO 65109-1293 2006-01-05
1538143219 John F. Sanfelippo Internal Medicine 1241 West Stadium Boulevard, Jefferson City, MO 65109 2005-12-06
1184612889 Tin Maung Oo Internal Medicine 100 St. Marys Medical Plaza, Jefferson City, MO 65101 2005-10-07
Find all providers in JEFFERSON CITY

Competitor

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City JEFFERSON CITY
Zip Code 65109

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Dataset Information

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.

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