DRS.Fernandez and Sriprasert P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0019518 Issued in MD

Legal business name

DRS.FERNANDEZ AND SRIPRASERT P.A.

Practice address

7700 Old Branch Ave
Suite C102
Clinton, MD 20735-1628

Phone

(301) 868-8200

Fax

(301) 868-6776

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rosario P. Fernandez, M.D.

Title

Vice-Pres.

Phone

(301) 868-8200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1043387715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 OLD BRANCH AVE",
            "address_2": "SUITE C102",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351628",
            "telephone_number": "301-868-8200",
            "fax_number": "301-868-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 OLD BRANCH AVE",
            "address_2": "SUITE C102",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351628",
            "telephone_number": "301-868-8200",
            "fax_number": "301-868-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS.FERNANDEZ AND SRIPRASERT P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ROSARIO",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VICE-PRES.",
        "authorized_official_telephone_number": "301-868-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0019518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUESHIELD",
            "identifier": "0006",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Katrina Duncan, CASE MANAGER
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• Family Medicine Physician in Clinton, MD
• Providers in Clinton, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.