Active NPI
Jose Manuel Fernandez-Semidey, MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- Temple Terrace, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- ME105393
- Practice address
- 12470 Telecom Dr
Suite 300W
Temple Terrace, FL 33637-0904 - Phone
- (863) 287-6569
- Fax
- (863) 968-1797
- NPI assigned
- Apr 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | ME105393 | FL | Primary |
Addresses
Primary practice location
12470 Telecom Dr
Suite 300W
Temple Terrace, FL 33637-0904
Mailing address
12470 Telecom Dr
Suite 300W
Temple Terrace, FL 33637-0904
Phone (863) 287-6569
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Shepherd Hospice, Inc. | Hospice and Palliative Medicine | Current | Accepting new patients |
| Good Shepherd Hospice, Inc. | Hospice and Palliative Medicine | Current | Accepting new patients |
Locations
450 Arneson Ave
Auburndale, FL 33823
Phone (863) 297-1880
1110 Hammock Rd
Sebring, FL 33870
Phone (863) 402-1066
12470 Telecom Dr
Ste 300
Temple Terrace, FL 33637
Phone (813) 871-8111
12470 Telecom Dr
Ste 300W
Temple Terrace, FL 33637
Phone (813) 871-8183
12470 Telecom Dr
Ste 301
Temple Terrace, FL 33637
Phone (423) 707-8678
Organizations & group practices 2
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.
-
- Community Based Hospice Care Agency
- Lakeland, FL
- NPI 1235283151
Hospice and Palliative Medicine
-
- Community Based Hospice Care Agency
- Marathon, FL
- NPI 1720691017
Hospice and Palliative Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1295900819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12470 TELECOM DR",
"address_2": "SUITE 300W",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370904",
"telephone_number": "863-287-6569",
"fax_number": "863-968-1797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12470 TELECOM DR",
"address_2": "SUITE 300W",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370904",
"telephone_number": "863-287-6569",
"fax_number": "863-968-1797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ-SEMIDEY",
"first_name": "JOSE",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-24",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "FL",
"license": "ME105393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.