Mark A Hernandez (NPI# 1457416224, PAC ID# 7911810593) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1457416224 |
| PAC ID by PECOS | 7911810593 |
| Professional Enrollment ID | I20100607000133 |
| Full Name | Mark A Hernandez |
| Organization Legal Name | SANDPOINT FAMILY MEDICINE |
| Address |
302 S 1st Ave Sandpoint ID 83864-1258 |
| Phone Number | 2082635109 |
| Gender | M |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GENERAL PRACTICE |
| Group Practice PAC ID | 5395658967 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131328 | BONNER GENERAL HOSPITAL |
| 130049 | KOOTENAI HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 302 S 1st Ave, Sandpoint, ID 83864-1258 | 2082635109 | SANDPOINT FAMILY MEDICINE |
| Organization Legal Name | SANDPOINT FAMILY MEDICINE |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn C Robertson | Nurse Practitioner | Sandpoint Family Medicine | 302 S 1st Ave, Sandpoint, ID 83864-1258 |
| Brett D Oconnor | Nurse Practitioner | Sandpoint Family Medicine | 302 S 1st Ave, Sandpoint, ID 83864-1258 |
| Street Address |
302 S 1ST AVE |
| City | SANDPOINT |
| State | ID |
| Zip | 83864-1258 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn C Robertson | Nurse Practitioner | Sandpoint Family Medicine | 302 S 1st Ave, Sandpoint, ID 83864-1258 |
| Brett D Oconnor | Nurse Practitioner | Sandpoint Family Medicine | 302 S 1st Ave, Sandpoint, ID 83864-1258 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawna Benner Erickson | Physical Therapy | 1005 Hwy 2 W, Sandpoint, ID 83864 | |
| Jason Marc Petersen | Optometry | Eye Clinic of Sandpoint Pa | 307 S 1st Ave, Sandpoint, ID 83864-1201 |
| Bruce D Bellin | Ophthalmology | Eye Clinic of Sandpoint Pa | 307 S 1st Ave, Sandpoint, ID 83864-1201 |
| Brayden Grant Petersen | Optometry | Eye Clinic of Sandpoint Pa | 307 S 1st Ave, Sandpoint, ID 83864-1201 |
| Charles C George | Ophthalmology | Eye Clinic of Sandpoint Pa | 307 S 1st Ave, Sandpoint, ID 83864-1201 |
| Don C. H. Henker | Optometry | Drs. D and W Henker, P.C. | 123 S 3rd Ave, Suite 1, Sandpoint, ID 83864-1358 |
| Geoffrey D Greenway | Chiropractic | 123 S 3rd Ave, Suite 6, Sandpoint, ID 83864-1358 | |
| Whitney Camille Henker | Optometry | Drs. D and W Henker, P.C. | 123 S 3rd Ave, Suite 1, Sandpoint, ID 83864-1358 |
| Gloria J Waterhouse | Psychologist, Clinical | 100 N 1st Ave, Sandpoint, ID 83864-1376 | |
| Virginia Maus | Clinical Social Worker | 231 N 3rd Ave, Suite 201, Sandpoint, ID 83864-1418 | |
| Find all physicians in zip 83864 | |||
| City | SANDPOINT |
| Zip Code | 83864 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SANDPOINT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark 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.