Juan Fernandez-Gomez, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4584 Issued in OH

Practice address

1741 W Main St
Troy, OH 45373-2301

Phone

(570) 239-6961

NPI assigned

Aug 24, 2016

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

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Fernandez-Wills LLC

  • Chiropractor
  • Troy, OH
  • NPI 1083169577
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1366997850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 ALEXANDER CT",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453738762",
            "telephone_number": "570-239-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 W MAIN ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732301",
            "telephone_number": "570-239-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ-GOMEZ",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Falldorf, NP
• Nicolas Max Farenwald, DO
• Kim Renee Feeny, R.N.
• Michael Alan Feinstein, D.D.S.
• Andrew Fellers, MD
• Fernandez-Wills LLC
• Josefina R. Ferree, APRN-FNP-C
• Laura Ferrell, FNP-C
• Melissa Fisher
• Douglas Lee Fitch

• Chiropractor in Troy, OH
• Providers in Troy, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.