MR. ALFONSO JR HERNANDEZ (NPI# 1720502917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720502917 |
| Entity Type | Individual |
| Full Name | MR. ALFONSO JR HERNANDEZ |
| Credential | PA-C |
| Practice Address |
466 Horrocks Dr Blackfoot ID 83221-3452 |
| Practice Telephone | 3073995925 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2018-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-1530 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942283148 | Alfonso Hernandez | Marriage & Family Therapist | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2005-11-22 |
| 1093285769 | Alfonso Hernandez | Behavior Technician | 4152 W Swift Ave Ste 104, Fresno, CA 93722-6388 | 2018-11-26 |
| 1205314572 | Alfonso Hernandez Jr. | Optometrist | 3505 W Kenosha St, Broken Arrow, OK 74012-8948 | 2018-07-30 |
| 1164818092 | Alfonso Claudio Hernandez | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2015-04-07 |
| Street Address |
466 HORROCKS DR |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221-3452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| Find all providers in zip 83221 | ||||
| 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 |
|---|---|---|---|---|
| 1245846187 | Adam Baker | Physician Assistant | 271 Jefferson St, Blackfoot, ID 83221-1818 | 2020-09-16 |
| 1326515313 | Vanessa Estella Martinez-quezada | Physician Assistant | 419 W 270 N, Blackfoot, ID 83221-4927 | 2018-10-28 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1104394337 | Lucas P Belford | Physician Assistant | 700 E Alice St, Blackfoot, ID 83221-4925 | 2018-11-06 |
| 1851870091 | Jennifer L Wistisen | Physician Assistant | 98 Poplar St, Blackfoot, ID 83221-1799 | 2018-08-08 |
| 1770002974 | Alan E Crandall | Physician Assistant | 98 Poplar St, Blackfoot, ID 83221-1758 | 2017-09-19 |
| 1679973119 | Danielle Hamill | Physician Assistant | 700 E Alice St, Blackfoot, ID 83221-4925 | 2014-09-03 |
| 1003168899 | John Todd Allen | Physician Assistant | 700 E Alice St, Blackfoot, ID 83221-4925 | 2012-10-04 |
| 1326347972 | Julia Mcgee | Physician Assistant | 98 Poplar St, Blackfoot, ID 83221-1758 | 2011-03-22 |
| 1215237896 | Julie Marie Heier | Physician Assistant | 98 Poplar St, Blackfoot, ID 83221-1758 | 2010-10-28 |
| Find all providers in BLACKFOOT | ||||
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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.