Libertad Fernandez Gean, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA05015 Issued in TX

Practice address

5917 Belt Line Rd
Dallas, TX 75254-7703

Phone

(972) 726-6464

Fax

(972) 726-6444

NPI assigned

Mar 28, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Libertad Fernandez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1174866115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 BELT LINE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547703",
            "telephone_number": "972-726-6262",
            "fax_number": "972-726-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 BELT LINE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547703",
            "telephone_number": "972-726-6464",
            "fax_number": "972-726-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEAN",
        "first_name": "LIBERTAD",
        "middle_name": "FERNANDEZ",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA05015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIBERTAD",
            "last_name": "FERNANDEZ",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• GD Radiology, PA
• Perry Gdalevitch, MD
• GDC Partners, LLC
• Andrew Gdowski, DO, PHD
• Christina Gdowski, PHARMD
• Hannah Michelle Gear, RBT
• Erin Geary, RN, MS, NNP-BC
• Clinton Gebert, CRNA
• Netsanet Gebeto, NP
• Cynthia Ann Gebhart, CRNA

• Medical Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.