Hernan Patino, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

F2389 Issued in TX

Practice address

409 Glenwood St Ste 500
Glen Rose, TX 76043-4933

Phone

(254) 897-2202

Fax

(254) 897-2102

NPI assigned

Oct 12, 2005

Last updated

Aug 16, 2011By 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)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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.

• Hernan Patino, MD, PA

  • Specialist
  • Weimar, TX
  • NPI 1801948179
  NPD (past) Authorized official
• Michael L. Davis, M.D. P.a.

  • Family Medicine Physician
  • Glen Rose, TX
  • NPI 1194985325
  NPD (past)
• Sierra Vista Hospital

  • Critical Access Hospital
  • Truth Or Consequences, NM
  • NPI 1760446009
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1265420277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760433129",
            "telephone_number": "254-897-2202",
            "fax_number": "254-897-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 GLENWOOD ST STE 500",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760434933",
            "telephone_number": "254-897-2202",
            "fax_number": "254-897-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATINO",
        "first_name": "HERNAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "F2389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Mahan, PT, DPT
• Megan Meer, ARPN, FNP-C
• Michael L. Davis, M.D. P.a.
• Jesseca Mitchell
• Tiffany Oates, FNP
• Jennifer Lyn Patton, LCSW
• Jonette Phegley
• Christie Ramirez, DNP, APRN, CPNP-PC
• Leslie Ross, N.P.
• Schmidt Medical Clinic, PA

• Surgery Physician in Glen Rose, TX
• Providers in Glen Rose, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.