MRS. AMY MARIE HERNANDEZ (NPI# 1609279298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609279298 |
Entity Type | Individual |
Full Name | MRS. AMY MARIE HERNANDEZ |
Credential | PA-C, MS |
Practice Address |
2720 Commercial St Se Suite 201 Salem OR 97302-4586 |
Practice Telephone | 5035409999 |
Practice Fax Number | 5035403105 |
Mailing Telephone | 5035409999 |
Mailing Fax Number | 5035403105 |
Enumeration Date | 2014-09-26 |
Last Update Date | 2017-02-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA169940 | OR | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275054843 | Amy Hernandez | Social Worker | 8775 Vinmar Ave Apt A, Rancho Cucamonga, CA 91730-5004 | 2017-07-04 |
1982145629 | Amy Hernandez | Behavior Technician | 2432 La Fonda Cir Apt 2, Las Cruces, NM 88001-4476 | 2017-03-14 |
1821226143 | Amy Hernandez | Surgery | Po Box 555191, Camp Pendleton, CA 92055-5191 | 2009-06-25 |
1699229260 | Amy Nicole Hernandez | Social Worker | 2526 Seymour Ave, Cheyenne, WY 82001-3159 | 2016-08-11 |
1396123741 | Amy Hernandez | Behavioral Analyst | 11740 E 21st St, Tulsa, OK 74129-1820 | 2015-05-18 |
1912315714 | Amy Marie Hernandez | Psychiatry & Neurology | 7000 Sw 62nd Ave, South Miami, FL 33143-4716 | 2014-07-24 |
1407269392 | Amy Hernandez | Social Worker | 260 Stetson St, Cincinnati, OH 45219-2498 | 2014-06-09 |
1780014423 | Amy Jean Hernandez | Registered Nurse | 6095 N 1st St, Fresno, CA 93710-5444 | 2013-11-15 |
1053655753 | Amy Lynn Hernandez | Nurse Practitioner | 2401 Research Blvd Ste 102, Rockville, MD 20850-3215 | 2012-11-19 |
1659631901 | Amy M Hernandez | Family Medicine | 201 Fm 3237 Ste 111, Wimberley, TX 78676-2119 | 2012-05-21 |
Street Address |
2720 COMMERCIAL ST SE SUITE 201 |
City | SALEM |
State | OR |
Zip Code | 97302-4586 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518996198 | Namrata Ragade | Internal Medicine | 2720 Commercial St Se, Suite 201, Salem, OR 97302-4586 | 2006-07-03 |
1639503253 | Salem Travel Clinic, LLC | Clinic/Center | 2720 Commercial St Se, Suite 201, Salem, OR 97302-4495 | 2013-08-30 |
1639403330 | Cascade Infectious Diseases and Infusion LLC | Clinic/Center | 2720 Commercial St Se, Suite 201, Salem, OR 97302-4586 | 2009-09-28 |
1558596916 | Jasmin Chaudhary | Internal Medicine | 2720 Commercial St Se, Suite 201, Salem, OR 97302-4586 | 2009-05-28 |
1427131135 | Daniel J Campbell | Podiatrist | 2720 Commercial St Se, Ste 201, Salem, OR 97302-4495 | 2006-10-24 |
1568546794 | John C Girod | Internal Medicine | 2720 Commercial St Se, Suite 201, Salem, OR 97302-4586 | 2006-10-24 |
1518041763 | Eliza Oh | Internal Medicine | 2720 Commercial St Se, Suite 201, Salem, OR 97302-4586 | 2006-10-24 |
1710067988 | Enoch D Shaw | Orthopaedic Surgery | 2720 Commercial St Se, Ste 201, Salem, OR 97302-4495 | 2006-10-16 |
1689760472 | Richard De Quiroz Basilan | Internal Medicine | 2720 Commercial St Se, Suite #201, Salem, OR 97302-4495 | 2006-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
Find all providers in zip 97302 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
1639614852 | Gregory Bull | Physician Assistant | 622 Fernwood Dr, Salem, VA 24153-2654 | 2016-12-24 |
1841648862 | Theron J Wiese | Physician Assistant | 1395 Commercial St Se, Salem, OR 97302-4205 | 2016-05-31 |
1922329697 | Charleen Ann Thorburn | Physician Assistant | 22 Keewaydin Dr, Salem, NH 03079-2839 | 2010-06-17 |
1316188006 | Judith A Mitchell | Physician Assistant | 4999 Skyline Rd. S., Salem, OR 97306 | 2009-03-10 |
1215912712 | Amy Gouley | Physician Assistant | 1793 13th St Se, Salem, OR 97302-2541 | 2005-12-07 |
1306827100 | William Earle Williams | Physician Assistant | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2005-11-08 |
1700485224 | Roderick Mao | Physician Assistant | 159 N Broadway, Salem, NH 03079-2136 | 2020-10-26 |
1447719752 | Christine Nicole Jeffries | Physician Assistant | 360 Church St Se, Salem, OR 97301-3796 | 2019-03-16 |
1265999338 | Brolin Johnson | Physician Assistant | 1793 13th St Se, Salem, OR 97302-2541 | 2019-02-26 |
Find all providers in SALEM |
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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.