Barry Fernando, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

17802 Issued in AZ

Practice address

2777 E Camelback Rd Ste 140
#780
Phoenix, AZ 85016-4351

Phone

(602) 956-3596

Fax

(602) 956-4762

NPI assigned

Nov 4, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Barry Fernando, MD and Coleene Fernando, MD PC

  • Specialist
  • Phoenix, AZ
  • NPI 1386970531
  Authorized official Same address or phone

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1104817378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 E CAMELBACK RD STE 140",
            "address_2": "140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164351",
            "telephone_number": "602-956-3596",
            "fax_number": "602-956-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 E CAMELBACK RD STE 140",
            "address_2": "#780",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164351",
            "telephone_number": "602-956-3596",
            "fax_number": "602-956-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDO",
        "first_name": "BARRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "17802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Fernandez
• Nayda Fernandez, RN
• Robin Renae Fernandez, M.ED, LISAC
• Rosa Ileana Fernandez
• Samuel Tamayo Fernandez Jr., DDS
• Coleene Fernando, MD
• Norman M Fernando, MD
• Shahan Fernando, M.D.
• Limy Fernandus, FNP-C
• Martin J Feroli, COTA

• Plastic and Reconstructive Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Plastic and Reconstructive Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.