Fernando Medina, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

4301500051 Issued in MI

Practice address

30200 Telegraph Rd
Suite 220
Bingham Farms, MI 48025-4502

Phone

(248) 258-5058

NPI assigned

Jul 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Port Huron Anesthesiology, PC

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  • NPI 1427166099

  Anesthesiology

  NPD (past)
• Johnson Memorial Hospital

  dba Johnson Memorial Hospital Health Affiliates

  • Internal Medicine Physician
  • Franklin, IN
  • NPI 1154321099
  NPD (past)
• Know Pain Clinic, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Beckley, WV
  • NPI 1669438081
  NPD (past)
• Northeast Indiana Anesthesiology, PC

  • Anesthesiology Physician
  • Columbia City, IN
  • NPI 1619917366
  NPD (past)
• Northeast Indiana Colon Rectal Surgeons PC

  • Colon & Rectal Surgery Physician
  • Fort Wayne, IN
  • NPI 1912998014
  NPD (past)
• Raleigh Anesthesia Associates, Inc

  • Anesthesiology Physician
  • Beckley, WV
  • NPI 1184680639
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194741637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8004 NW NORWICK AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735054034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD",
            "address_2": "SUITE 220",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254502",
            "telephone_number": "248-258-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "FERNANDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301500051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calla McNulty
• Kailynn McPherson
• Renee Mech
• Erdi Meco, BS
• Medical Center Pediatrics PLLC
• Phyllis Ann Meer, RN BSN CPNP
• Meeta Singh MD PC
• Juhie Mehta
• Kerenia Mency
• Nicholas Mercurio, M.ED.

• Anesthesiology Physician in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.