Fernando Fernandez, M. D. PC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

FERNANDO FERNANDEZ, M. D. PC

Practice address

2750 Clay Edwards Dr Ste 320
North Kansas City, MO 64116-3259

Phone

(816) 421-0188

Fax

(816) 421-0874

NPI assigned

Jun 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Fernando Fernandez, M.D.NPI 1548243124

Title

President/Owner

Phone

(816) 421-0188

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Fernando Fernandez, M.D.

  • Pediatrics Physician
  • North Kansas City, MO
  • NPI 1548243124
  NPD (past) Authorized official

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1366670796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DR STE 320",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163259",
            "telephone_number": "816-421-0188",
            "fax_number": "816-421-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DR STE 320",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163259",
            "telephone_number": "816-421-0188",
            "fax_number": "816-421-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO FERNANDEZ, M. D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "816-421-0188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201227717",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• F.I.T.T. LLC
• Family Eyecare
• Benjamin David Fangman
• Miriam Rose Farber, RD
• Fernando Fernandez, M.D.
• Frank Joseph Ferrantelle, PT
• Andrea Ferrell, NP
• Ryan Marshall Ferrell, CRNA
• Zachary William Fetter, DO
• Leigha Ryan Fish

• Pediatric Adolescent Medicine Physician in North Kansas City, MO
• Providers in North Kansas City, MO by specialty
• Pediatric Adolescent Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.