Richard A Hernandez (NPI# 1457328221, PAC ID# 7810926466) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1457328221 |
| PAC ID by PECOS | 7810926466 |
| Professional Enrollment ID | I20060128000072 |
| Full Name | Richard A Hernandez |
| Organization Legal Name | UNIVERSITY SURGICAL ASSOCIATES, INC. |
| Address |
2 Dudley St Providence RI 02905-3248 |
| Phone Number | 4012721800 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4082503032 |
| Number of Group Practice Members | 81 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1195 N Main St, Providence, RI 02904-1824 | 4018613782 | EAST SIDE URGENT CARE LLC |
| 2 Dudley St, Providence, RI 02905-3248 | 4012721800 | UNIVERSITY SURGICAL ASSOCIATES, INC. |
| Organization Legal Name | UNIVERSITY SURGICAL ASSOCIATES, INC. |
| Physicians | 83 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole K Breting | Nurse Practitioner | University Surgical Associates, Inc. | 593 Eddy St Apc, Suite 4, Providence, RI 02903-4923 |
| Karen Doyle | Nurse Practitioner | University Surgical Associates, Inc. | 23 Powel Ave, Newport, RI 02840-2692 |
| Nishit Shah | Colorectal Surgery (proctology) | University Surgical Associates, Inc. | 208 Collyer St, Suite 302, Providence, RI 02904-1560 |
| Lars Stangenberg | Vascular Surgery | University Surgical Associates, Inc. | 2 Dudley St, Suite 470, Providence, RI 02905-3248 |
| Bradford C Gray | General Surgery | University Surgical Associates, Inc. | 11 Friendship St, Newport, RI 02840-2209 |
| Todd Stafford | General Surgery | University Surgical Associates, Inc. | 2 Dudley St, Suite 190, Providence, RI 02905-3248 |
| Amy P Pilotte | Nurse Practitioner | University Surgical Associates, Inc. | 2 Dudley St, Suite 470, Providence, RI 02905-3248 |
| Veronica Seippel | Nurse Practitioner | University Surgical Associates, Inc. | 593 Eddy St Apc, Suite 4, Providence, RI 02903-4923 |
| Kenneth Lynch | Nurse Practitioner | University Surgical Associates, Inc. | 593 Eddy St Apc, Suite 4, Providence, RI 02903-4923 |
| Stephanie N Lueckel | General Surgery | University Surgical Associates, Inc. | 2 Dudley St, Suite 190, Providence, RI 02905-3248 |
| Street Address |
2 DUDLEY ST |
| City | PROVIDENCE |
| State | RI |
| Zip | 02905-3248 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brad Douglas Blankenhorn | Orthopedic Surgery | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Lars Stangenberg | Vascular Surgery | University Surgical Associates, Inc. | 2 Dudley St, Suite 470, Providence, RI 02905-3248 |
| Todd Stafford | General Surgery | University Surgical Associates, Inc. | 2 Dudley St, Suite 190, Providence, RI 02905-3248 |
| Phillip Lucas | Orthopedic Surgery | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Amy P Pilotte | Nurse Practitioner | University Surgical Associates, Inc. | 2 Dudley St, Suite 470, Providence, RI 02905-3248 |
| Philip Haines | Cardiovascular Disease (cardiology) | Lifespan Physician Group Inc | 2 Dudley St, Providence, RI 02905-3236 |
| Jaclyn Plante | Physical Therapy | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Stephanie N Lueckel | General Surgery | University Surgical Associates, Inc. | 2 Dudley St, Suite 190, Providence, RI 02905-3248 |
| Eric Benoit | General Surgery | University Surgical Associates, Inc. | 2 Dudley St, Suite 190, Providence, RI 02905-3248 |
| Nikola Babovic | Orthopedic Surgery | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clarissa D. Lewis | Optometry | The Providence Community Health Centers Inc. | 335 Prairie Ave, Fl 2, Providence, RI 02905-1924 |
| Angel M. Eads | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Sandrine O Guilherme | Clinical Social Worker | The Providence Center Inc | 355 Prairie Ave, Providence, RI 02905-1928 |
| Katherine Williams | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Luis A Ferreira | Clinical Social Worker | The Providence Center Inc | 355 Prairie Ave, Providence, RI 02905-1928 |
| Andrew Saal | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Lauren E Stewart | Obstetrics/gynecology | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Tenesha R Lisbon | Nurse Practitioner | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Elaine K Parker Williams | Nurse Practitioner | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Carla Martin | Internal Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Find all physicians in zip 02905 | |||
| City | PROVIDENCE |
| Zip Code | 02905 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PROVIDENCE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Richard A 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.