Organization Active NPI

William Fernandez MD PLLC

  • Internal Medicine Physician
  • Helena, MT
National Provider Identifier
1215119623
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8680 Issued in MT
Legal business name
WILLIAM FERNANDEZ MD PLLC
Practice address
2400 Gold Rush Ave
Helena, MT 59601-5663
Phone
(406) 465-6957
Fax
(406) 443-3350
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
William Fernandez, MDNPI 1104805662
Title
Owner
Phone
(406) 442-6969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 8680 MT Primary

Addresses

Primary practice location

2400 Gold Rush Ave
Helena, MT 59601-5663

Mailing address

2400 Gold Rush Ave
Helena, MT 59601-5663
Phone (406) 465-6957

Other identifiers 1

IdentifierTypeStateIssuer
000083075OtherMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1215119623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 GOLD RUSH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596015663",
            "telephone_number": "406-465-6957",
            "fax_number": "406-443-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 GOLD RUSH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596015663",
            "telephone_number": "406-465-6957",
            "fax_number": "406-443-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM FERNANDEZ MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-442-6969",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "8680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "000083075",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.