Active NPI
Hernando Medical Inc
- Internal Medicine Physician
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME78544
- Legal business name
- HERNANDO MEDICAL INC
- Practice address
- 12900 Cortez Blvd
Ste 202
Brooksville, FL 34613 - Phone
- (352) 597-8844
- Fax
- (352) 597-8831
- NPI assigned
- Feb 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammad A Joud, M.D.
- Title
- President Owner
- Phone
- (352) 597-8844
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME78544 | FL | Primary |
Addresses
Primary practice location
12900 Cortez Blvd
Ste 202
Brooksville, FL 34613
Mailing address
12900 Cortez Blvd
Ste 202
Brooksville, FL 34613
Phone (352) 597-8844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258942700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2160950 | Hernando Medical Inc | Certificate of waiver | Jan 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
12900 Cortez Blvd
Ste 202
Brooksville, FL 34613
Phone (352) 597-8844
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Brooksville, FL
- NPI 1578513313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260316800000",
"number": "1023080629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12900 CORTEZ BLVD",
"address_2": "STE 202",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "34613",
"telephone_number": "352-597-8844",
"fax_number": "352-597-8831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12900 CORTEZ BLVD",
"address_2": "STE 202",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "34613",
"telephone_number": "352-597-8844",
"fax_number": "352-597-8831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERNANDO MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-07",
"last_updated": "2009-12-09",
"status": "A",
"authorized_official_last_name": "JOUD",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "352-597-8844",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME78544",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258942700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.