Joseph M Hernandez MD PA

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

JOSEPH M HERNANDEZ MD PA

Practice address

826 SW Main Blvd Ste 102
Lake City, FL 32025-5742

Phone

(386) 754-0600

Fax

(386) 755-9737

NPI assigned

Feb 2, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph M Hernandez, M,D.

Title

Provider/Owner

Phone

(386) 754-0600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1003148016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 SW MAIN BLVD STE 102",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255742",
            "telephone_number": "386-754-0600",
            "fax_number": "386-755-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 SW MAIN BLVD STE 102",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255742",
            "telephone_number": "386-754-0600",
            "fax_number": "386-755-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M HERNANDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "386-754-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M,D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277541700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stanley Steven Jones, D.M.D.
• Tia Jones
• William S Jones, CRNA
• Jamilyn Vaughn Jordan, MSN, ARNP, PNP-PC
• Tynette Jordan
• Kayla Juergens
• Julie L Owens OD PA
• Jung H Kim MD PA
• Kevin R Jurecko, DDS
• Caroline Cherry Jury, RDN/LD

• Pain Clinic/Center in Lake City, FL
• Providers in Lake City, FL by specialty
• Pain Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.