Hernando Jimenez, M.D.

Primary specialty

Neuropathology PhysicianTaxonomy code 207ZN0500X

License

10129 Issued in WV

Practice address

2500 Hospital Drive
City Hospital
Martinsburg, WV 25401

Phone

(304) 264-1212

Fax

(304) 264-0135

NPI assigned

Jul 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Locations

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.

• Potomac Pathology Consultants Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Martinsburg, WV
  • NPI 1629160858
  NPD Authorized official
• Antonio Tamara MD LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Martinsburg, WV
  • NPI 1053442541
  NPD

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1285634113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BERWYN HOUSE RD STE 208",
            "address_2": "COLLEGE PARK",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207404719",
            "telephone_number": "301-220-0150",
            "fax_number": "301-220-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DRIVE",
            "address_2": "CITY HOSPITAL",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25401",
            "telephone_number": "304-264-1212",
            "fax_number": "304-264-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "HERNANDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZN0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Neuropathology",
            "state": "WV",
            "license": "10129",
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "WV",
            "license": "10129",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "VA",
            "license": "0101022951",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "220021414",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101738000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Phillip Jennings, PH D
• Wendy Sue Jent
• Kim Louise Jerger
• Carrie Lynn Jessen, MSW
• Joseph Jessen, FNP
• Ivette Jimenez
• Caroline E Joe, MD
• John F. Genovese, D.C., Chiropractic Corporation
• Kellie Johns
• Barbara Johnson

• Neuropathology Physician in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Neuropathology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.