THOMAS HERNANDEZ (NPI# 1851513089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851513089 |
| Entity Type | Individual |
| Full Name | THOMAS HERNANDEZ |
| Other Name | DR. TOMMY HERNANDEZ |
| Credential | M.D. |
| Practice Address |
215 E 1st St Ste 326 Dixon IL 61021-3190 |
| Mailing Address |
337 Old Salem Way Martinez GA 30907-9081 |
| Practice Telephone | 8152855800 |
| Practice Fax Number | 8152855691 |
| Mailing Telephone | 7062101825 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036-129768 | IL | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
036-129768 | IL | Allopathic & Osteopathic Physicians |
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
BM6733807-R49 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036129768 | 05 | |
| IL | MEDICARE | 381220030 | 01 |
| GA | TEMP RESIDENCY TRAINING # | BM6733807-R49 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1120 15th St, Dept of Orthopaedics, Augusta, GA 309120004 | 7067211801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730294000 | Thomas Hernandez | Dentist | 6915 Cypress Creek Pkwy Ste G, Houston, TX 77069-3701 | 2006-08-20 |
| 1811986920 | Thomas Mitchell Hernandez | Anesthesiology | 2055 Military Trl, Suite 100, Jupiter, FL 33458-7801 | 2005-10-20 |
| 1902431976 | Thomas Hernandez Jr. | Contractor | 7304 Robert Michaels St, Mission, TX 78574-4223 | 2020-03-10 |
| 1558879312 | Thomas Louis Hernandez | Social Worker | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2018-01-16 |
| 1982110078 | Thomas Anthony Hernandez Jr. | Counselor | 10000 Emmett F Lowry Expy Ste 1220, Texas City, TX 77591-2129 | 2017-12-27 |
| 1639689607 | Thomas R Hernandez | Counselor | 11027 Burbank Blvd, North Hollywood, CA 91601-2431 | 2017-10-04 |
| 1396266573 | Thomas Hernandez | Social Worker | 3901 E 32nd St, Joplin, MO 64804-3312 | 2017-06-28 |
| 1568440428 | Thomas R Hernandez | Pediatrics | 1706 Meridian S, Suite 120, Puyallup, WA 98371-7516 | 2006-01-02 |
| Street Address |
215 E 1ST ST STE 326 |
| City | DIXON |
| State | IL |
| Zip Code | 61021-3190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689652133 | William E Shaw Jr. | Physician Assistant | 215 E 1st St Ste 326, Dixon, IL 61021-3190 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331082 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1600 South Galena Ave, Dixon, IL 61021 | 2019-05-12 |
| 1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
| 1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
| 1669992566 | Nicole Marie Shaffer | Specialist/Technologist | 650 Reynoldswood Road, Dixon, IL 61021 | 2017-06-21 |
| 1346660446 | Lydia Sitter | Audiologist | 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 | 2014-04-16 |
| 1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
| 1376775262 | Kelly L Klein | Optometrist | 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 | 2009-08-11 |
| 1013119106 | Michael Joseph Sarno | Physical Therapist | 401 E. First Street, Dixon, IL 61021 | 2007-06-01 |
| 1891905600 | Thomas G. Gehlbach | Internal Medicine | 215 E 1st St Ste 111, Dixon, IL 61021 | 2007-05-23 |
| 1699987230 | Sameer Jain | Family Medicine | 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 | 2007-05-04 |
| Find all providers in zip 61021 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497723258 | Xamnan Tulyasathien | Orthopaedic Surgery | 215 E 1st St, Ste 305, Dixon, IL 61021-3166 | 2006-03-09 |
| 1255302568 | Stephen D Gabriel | Orthopaedic Surgery | 215 E 1st St, Ste 305 Ksb Medical Group, Dixon, IL 61021 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834680 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1200 S York St Ste 4110, Elmhurst, IL 60126-5630 | 2020-09-02 |
| 1790303725 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1009 Il Route 22 Ste 2, Fox River Grove, IL 60021-1998 | 2020-07-07 |
| 1104440049 | Elliot M Johns | Orthopaedic Surgery | 301 N 8th St Ste 3a158, Springfield, IL 62701-1085 | 2020-06-06 |
| 1740804764 | David Alan Forgas | Orthopaedic Surgery | 901 N 1st St # D252, Springfield, IL 62702-3759 | 2020-06-05 |
| 1700417185 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 | 2020-02-04 |
| 1588207799 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2719 W Algonquin Rd, Algonquin, IL 60102-9400 | 2019-10-21 |
| 1669020848 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 406 Front St Ste 100, Mchenry, IL 60050-5593 | 2019-08-30 |
| 1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THOMAS HERNANDEZ.
| 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.