Individual provider Active NPI

Edward G Fernandez, MD

  • Pediatric Critical Care Medicine Physician
  • Marshfield, WI
National Provider Identifier
1386744605
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
37098 Issued in WI
Practice address
1000 N Oak Ave
Marshfield, WI 54449-5777
Phone
(715) 387-9620
NPI assigned
Sep 25, 2006
Last updated
Sep 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 37098 WI
Pediatric Critical Care Medicine Physician 2080P0203X 37098 WI Primary

Addresses

Primary practice location

1000 N Oak Ave
Marshfield, WI 54449-5777

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5777

Other identifiers 1

IdentifierTypeStateIssuer
32023000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060405000152 WI Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 4789692518 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37098WIMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients
Marshfield Clinic Inc CurrentSince Nov 30, 2004 Accepting new patients
Lakeview Medical Center Inc of Rice Lake PastSince Jan 1, 2025 Accepting new patients
Memorial Hospital Inc Past Accepting new patients
Dickinson County Healthcare System PastSince Sep 8, 2023 Accepting new patients

Locations

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Interoperability endpoints

  • Direct secure messaging: edward.fernandez@marshfieldclinichealthsystem.cernerdirect.com

Ownership & related parties

All facility ownership & control disclosures 43

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Marshfield Medical Center - Rice LakeRice Lake, WI, CCN 520011 Hospital Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Medical Center - Beaver DamBeaver Dam, WI, CCN 520076 Hospital Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Medical Center - Park FallsPark Falls, WI, CCN 521325 Hospital Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Medical Center - Park Falls Swing BedPark Falls, WI, CCN 52Z325 Hospital Corporate Officer
Corporate Director
Jan 2, 2025
Sep 9, 2023
Marshfield Medical Center - Dickinson (Swing Bed)Iron Mountain, MI, CCN 23U055 Hospital Corporate Officer
Corporate Director
Jan 1, 2025
Sep 9, 2023
Marshfield Medical Center - NeillsvilleNeillsville, WI, CCN 521323 Hospital Corporate Officer
Corporate Director
Jan 1, 2025
Sep 9, 2023
Marshfield Medical Center - NeillsvilleNeillsville, WI, CCN 52Z323 Hospital Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Medical Center Rehab UnitMarshfield, WI, CCN 52T037 Hospital Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Medical CenterMarshfield, WI, CCN 520037 Hospital Corporate Officer
Corporate Director
Jan 1, 2025
Sep 9, 2023
Marshfield Medical Center - Eau ClaireEau Claire, WI, CCN 520210 Hospital Corporate Officer
Corporate Director
Jan 1, 2025
Sep 9, 2023
Marshfield Medical Center - LadysmithLadysmith, WI, CCN 521328 Hospital Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Medical Center - MinocquaMinocqua, WI, CCN 520212 Hospital Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Medical Center - WestonWeston, WI, CCN 520202 Hospital Corporate Officer
Corporate Director
Jan 1, 2025
Sep 9, 2023
Marshfield Medical Center - DickinsonIron Mountain, MI, CCN 231342 Hospital Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Medical Center - DickinsonIron Mountain, MI, CCN 23Z342 Hospital Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Hillside Manor Nursing HomeBeaver Dam, WI, CCN 525447 Skilled nursing facility Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Hillside Home Care HHABeaver Dam, WI, CCN 527191 Home health agency Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Medical Center - Rice Lake Home HealthRice Lake, WI, CCN 527158 Home health agency Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Medical Center - Dickinson Home HealthIron Mountain, MI, CCN 237292 Home health agency Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Hillside HospiceBeaver Dam, WI, CCN 521518 Hospice Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Medical Center - Rice Lake HospiceRice Lake, WI, CCN 521558 Hospice Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Medical Center - Dickinson HospiceIron Mountain, MI, CCN 231728 Hospice Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Medical Center - Dickinson Florence CenterFlorence, WI, CCN 523991 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 9, 2023
Marshfield Medical Center - Dickinson Family MedicineIron Mountain, MI, CCN 238559 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Medical Center - Dickinson Primary CareIron Mountain, MI, CCN 238634 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 9, 2023
Marshfield Medical Center - Dickinson Norway Family and Geriatric CtrNorway, MI, CCN 238643 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Medical Center - Neillsville ClinicNeillsville, WI, CCN 523980 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 9, 2023
Marshfield Medical Center - Dickinson Internal Medicine and NephrologyIron Mountain, MI, CCN 238656 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Medical Center - Dickinson Norway CenterNorway, MI, CCN 238654 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Medical Center - Dickinson Obstetrics & GynecologyIron Mountain, MI, CCN 238690 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 9, 2023
Marshfield Medical Center - Ladysmith ClinicLadysmith, WI, CCN 528567 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Clinic Cornell CenterCornell, WI, CCN 528607 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 9, 2023
Marshfield Medical Center - Minocqua ClinicMinocqua, WI, CCN 528615 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Clinic Stratford CenterStratford, WI, CCN 528611 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Clinic Colby/Abbotsford CenterColby, WI, CCN 528612 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Clinic Greenwood CenterGreenwood, WI, CCN 528613 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Clinic Bloomer CenterBloomer, WI, CCN 528647 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 9, 2023
Marshfield Clinic Eagle River CenterEagle River, WI, CCN 528648 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 9, 2023
Marshfield Clinic Hayward CenterHayward, WI, CCN 528650 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Clinic Cumberland CenterCumberland, WI, CCN 528652 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Clinic Phillips CenterPhillips, WI, CCN 528619 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 9, 2023
Marshfield Medical Center - Rice Lake ClinicRice Lake, WI, CCN 528618 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 8, 2023
Marshfield Medical Center - Park Falls ClinicPark Falls, WI, CCN 528623 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2025
Sep 9, 2023

Owned or controlled facilities with NPI records 45

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 45

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1386744605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495777",
            "telephone_number": "715-387-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "EDWARD",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "37098",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "WI",
            "license": "37098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32023000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

Verify at the official NPI Registry.