JOHN FERNANDO (NPI# 1487049250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 2018023711 | MO | Allopathic & Osteopathic Physicians |
Street Address |
2505 MISSION DR |
City | JEFFERSON CITY |
State | MO |
Zip Code | 65109 |
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 |
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 Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
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. |
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 |
City | JEFFERSON CITY |
Zip Code | 65109 |
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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.