Individual provider Active NPI

Jorge Enrique Hernandez, M.D.

  • Anesthesiology Physician
  • Ahoskie, NC
National Provider Identifier
1194763490
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Practice address
500 Academy St S
Ahoskie, NC 27910-3248
Phone
(252) 209-3159
Fax
(252) 209-3049
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NC Primary

Addresses

Primary practice location

500 Academy St S
Ahoskie, NC 27910-3248

Mailing address

PO Box 1385
Ahoskie, NC 27910-1385
Phone (252) 209-3159

Other identifiers 3

IdentifierTypeStateIssuer
1384YOtherNCBCBS OF NC
194008OtherNCMEDCOST
5900468MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150917002821 FL Practitioner - Anesthesiology 5698724136 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Miami, LM Miller School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Anesthesia Consultants PAGroup PAC ID 6204729056, 17 clinicians

Practice addresses (Care Compare)

10000 W Colonial Dr
Ocoee, FL 34761-3429
Phone (407) 296-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200201099NCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Jul 23, 2015 Accepting new patients
Innovative Medical Staffing Solutions Inc Anesthesiology CurrentSince Jun 1, 2015 Accepting new patients
Orange City Anesthesia Services LLC Anesthesiology CurrentSince Apr 20, 2015 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Orlando Anesthesia Consultants PA Anesthesiology CurrentSince Sep 1, 2019 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Jul 23, 2015 Accepting new patients
Ams National LLC Anesthesiology CurrentSince May 4, 2019 Accepting new patients
Atlantic Immedicare LLC Past Accepting new patients
Emergency Physician Specialists Inc PastSince Feb 1, 2013 Accepting new patients
Wilkes Anesthesia Associates PA Anesthesiology PastSince Dec 1, 2002 Accepting new patients
Atlantic General Hospital Corporation Anesthesiology Past Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

652 Palm Springs Dr
Altamonte Springs, FL 32701
Phone (386) 785-3329

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

201 Mohawk Rd
Minneola, FL 34715
Phone (973) 979-9079

10000 W Colonial Dr
Ocoee, FL 34761
Phone (321) 843-1378

975 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 456-5247

88 W Kaley St
Orlando, FL 32806
Phone (407) 423-0573

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1194763490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1385",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279101385",
            "telephone_number": "252-209-3159",
            "fax_number": "252-209-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ACADEMY ST S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103248",
            "telephone_number": "252-209-3159",
            "fax_number": "252-209-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JORGE",
        "middle_name": "ENRIQUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "1384Y",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "194008",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900468",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

Verify at the official NPI Registry.