CHARLES D HERNANDEZ (NPI# 1942213103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942213103 |
| Entity Type | Individual |
| Full Name | CHARLES D HERNANDEZ |
| Credential | DO |
| Practice Address |
511 W Laurel Ave Hattiesburg MS 39401-3504 |
| Mailing Address |
415 S 28th Ave Hattiesburg MS 39401-7246 |
| Practice Telephone | 6015441261 |
| Practice Fax Number | 6015839993 |
| Mailing Telephone | 6015441261 |
| Mailing Fax Number | 6015795240 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 13650 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00121782 | 05 | |
| MS | AMERICAN ADMIN GROUP | 1559144 | 01 |
| LA | 1594997 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083258917 | Charles Joseph Farley Hernandez | Physical Therapist | 1921 Ortega St, Navarre, FL 32566-4111 | 2019-11-04 |
| Street Address |
511 W LAUREL AVE |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891163598 | Matthew Dane Bolton | Nurse Practitioner | 511 W Laurel Ave, Hattiesburg, MS 39401-3504 | 2015-09-11 |
| 1336416973 | Downtown Pharmacy | Pharmacy | 511 W Laurel Ave, Hattiesburg, MS 39401-3504 | 2011-11-28 |
| 1386733350 | Hattiesburg Clinic Pa | Internal Medicine | 511 W Laurel Ave, Hattiesburg, MS 39401-3504 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| 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 |
|---|---|---|---|---|
| 1992166094 | Med Options LLC. | Internal Medicine | 5266 Old Highway 11, Ste 70 Pmb 104, Hattiesburg, MS 39402-7817 | 2016-03-16 |
| 1598016222 | Orlando Ray Burt | Internal Medicine | 2111 Country Club Rd, Hattiesburg, MS 39401-8880 | 2012-09-20 |
| 1710137906 | Hannelore Hendygain Giles | Internal Medicine | 2500 Sierra Cir, Hattiesburg, MS 39402-2540 | 2008-09-24 |
| 1154580249 | Deepu Raphael Thoppil | Internal Medicine | Merit Health Medical Group-pulmonology, 200 W Hospital Drive, Hattiesburg, MS 39402 | 2008-06-04 |
| 1225209257 | Claudia Karam | Internal Medicine | 1101 S 28th Ave, Hattiesburg, MS 39402-2610 | 2008-03-18 |
| 1053512087 | Forrest General Hospital | Internal Medicine | 6051 Us Highway 49, Hattiesburg, MS 39404-6389 | 2007-05-29 |
| 1336350206 | Derrick Quinton Edwards | Internal Medicine | 4 Willow Pt Ste 50, Hattiesburg, MS 39402-1150 | 2007-05-24 |
| 1477676831 | Michelle Lai | Internal Medicine | 6855 Lincoln Road Ext, Ste 50, Hattiesburg, MS 39402-3271 | 2007-04-09 |
| 1275664732 | Rebecca Walters Lauderdale | Internal Medicine | 1101 S 28th Ave Ste D, Hattiesburg, MS 39402-2610 | 2007-03-08 |
| 1922147065 | Dorothy Gillespie | Internal Medicine | 307 Katie Avenue, Hattiesburg, MS 39401-4336 | 2007-02-05 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
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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.