Jo Carolyn Hernandez (NPI# 1205049368, PAC ID# 1355337494) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1205049368 |
| PAC ID by PECOS | 1355337494 |
| Professional Enrollment ID | I20040422001671 |
| Full Name | Jo Carolyn Hernandez |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES - OREGON |
| Address |
501 Villa Rd Newberg OR 97132-1832 |
| Phone Number | 5038936463 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1979 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 3072415652 |
| Number of Group Practice Members | 59 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| 380037 | PROVIDENCE NEWBERG MEDICAL CENTER |
| 380082 | PROVIDENCE MILWAUKIE HOSPITAL |
| 380038 | PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 S Hazel Dell Way, Suite 210, Canby, OR 97013-7828 | 5032639550 | PROVIDENCE HEALTH AND SERVICES-OREGON |
| 200 S Hazel Dell Way, Canby, OR 97013-7828 | 5032639550 | PROVIDENCE HEALTH AND SERVICES-OREGON |
| 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 5036596111 | PROVIDENCE HEALTH AND SERVICES - OREGON |
| 501 Villa Rd, Newberg, OR 97132-1832 | 5038936463 | PROVIDENCE HEALTH AND SERVICES - OREGON |
| 4805 Neglisan St, Portland, OR 97213-2933 | 5032151111 | PROVIDENCE HEALTH AND SERVICES-OREGON |
| 9205 Sw Barnes Rd, St Vincent Hospital, Portland, OR 97225-6603 | 5032162213 | PROVIDENCE HEALTH AND SERVICES - OREGON |
| 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 5032162213 | PROVIDENCE HEALTH AND SERVICES - OREGON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES - OREGON |
| Physicians | 101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karina M Squire | Nurse Practitioner | Providence Health and Services - Oregon | 171 S Hwy 101, Warrenton, OR 97146-9314 |
| Randy L Sasich | Pulmonary Disease | Providence Health and Services - Oregon | 501 Villa Rd, Newberg, OR 97132-1832 |
| Shelley A Denison | Nurse Practitioner | Providence Health and Services - Oregon | 10140 Sw Park Way, Portland, OR 97225-5008 |
| Allan R Alexander | Family Practice | Providence Health and Services - Oregon | 2100 Ne 139th St, Vancouver, WA 98686-2300 |
| Deborah S Dorst | Nurse Practitioner | Providence Health and Services - Oregon | 6410 Ne Halsey St, Portland, OR 97213-4759 |
| Sharon F Lissman | Hospice/palliative Care | Providence Health and Services - Oregon | 4805 Ne Glisan St, Portland, OR 97213-2933 |
| Shoshawna Rainwater | Clinical Social Worker | Providence Health and Services - Oregon | 10140 Sw Park Way, Portland, OR 97225-5008 |
| Elke P Lowenkopf | Hospice/palliative Care | Providence Health and Services - Oregon | 1500 Division St, Rm 1005, Oregon City, OR 97045-1527 |
| Elise Newman | Hospice/palliative Care | Providence Health and Services - Oregon | 4805 Ne Glisan St, Portland, OR 97213-2933 |
| Talya L Freudmann | Nurse Practitioner | Providence Health and Services - Oregon | 10140 Sw Park Way, Portland, OR 97225-5008 |
| Street Address |
501 VILLA RD |
| City | NEWBERG |
| State | OR |
| Zip | 97132-1832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy L Sasich | Pulmonary Disease | Providence Health and Services - Oregon | 501 Villa Rd, Newberg, OR 97132-1832 |
| John Alan Butler | Pulmonary Disease | Providence Health and Services - Oregon | 501 Villa Rd, Newberg, OR 97132-1832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheila M Smith | Nurse Practitioner | 1819 Haworth Ave, Newberg, OR 97132-1211 | |
| Jeremy W Taylor | Optometry | Newberg Vision Clinic, P.C. | 2207 Portland Rd, A, Newberg, OR 97132-1371 |
| Paula A Taylor | Optometry | Newberg Vision Clinic, P.C. | 2207 Portland Rd, A, Newberg, OR 97132-1371 |
| Zoey Eleni Stoumbos | Ophthalmology | Oregon Eye Specialists, PC | 2318 Portland Rd, Suite 300, Newberg, OR 97132-1374 |
| May Khadem | Ophthalmology | Oregon Eye Specialists, PC | 2318 Portland Rd, Suite 300, Newberg, OR 97132-1374 |
| Anna Marie Q Macasa | Rheumatology | 402 Villa Rd, Newberg, OR 97132-1831 | |
| Robert J Weniger | Psychologist, Clinical | 515 N Villa Rd, Newberg, OR 97132-1832 | |
| Andrew D Bodmer | Physician Assistant | Providence Health and Services Oregon | 1840 Portland Rd, Newberg, OR 97132-1847 |
| Jennipher K Vallery | Physician Assistant | Providence Health and Services Oregon | 1840 Portland Rd, Newberg, OR 97132-1847 |
| Lacey Beth Lockhart | Podiatry | K G Gauntt Dpm PC | 410 Villa Rd, Newberg, OR 97132-1853 |
| Find all physicians in zip 97132 | |||
| City | NEWBERG |
| Zip Code | 97132 |
| Specialty | PATHOLOGY |
| City + Specialty | NEWBERG + PATHOLOGY |
Please comment or provide details below to improve the information on Jo Carolyn Hernandez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.