Individual provider Active NPI

Maria Corazon G Fernando, MD

  • Psychiatry Physician
  • Lancaster, PA
National Provider Identifier
1194725994
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD032055E Issued in PA
Practice address
231 N Shippen St
Suite 21-B
Lancaster, PA 17602-2770
Phone
(717) 239-0320
Fax
(717) 239-0321
NPI assigned
Jul 22, 2005
Reactivated
Apr 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD032055E PA Primary

Addresses

Primary practice location

231 N Shippen St
Suite 21-B
Lancaster, PA 17602-2770

Mailing address

231 N Shippen St
Suite 21-B
Lancaster, PA 17602-2770
Phone (717) 239-0320

Other names 1

  • M Corazon G Fernando Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051005000944 PA Practitioner - Psychiatry 7719912096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

231 N Shippen St
Suite 21B
Lancaster, PA 17602-2764
Phone (717) 239-0320

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fernando MD & Associates Psychiatry PastSince Dec 14, 2007 Accepting new patients

Organizations & group practices 2

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1194725994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 N SHIPPEN ST",
            "address_2": "SUITE 21-B",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022770",
            "telephone_number": "717-239-0320",
            "fax_number": "717-239-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N SHIPPEN ST",
            "address_2": "SUITE 21-B",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022770",
            "telephone_number": "717-239-0320",
            "fax_number": "717-239-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDO",
        "first_name": "MARIA CORAZON",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2008-04-03",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD032055E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M CORAZON",
            "last_name": "FERNANDO",
            "middle_name": "G",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.