Active NPI
Edward G Fernandez, MD
- Pediatric Critical Care Medicine Physician
- Marshfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 37098
- Practice address
- 1000 N Oak Ave
Marshfield, WI 54449-5777 - Phone
- (715) 387-9620
- NPI assigned
- Sep 25, 2006
- Last updated
- Sep 30, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32023000 | Medicaid | WI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37098 | WI | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Past | Accepting new patients | |
| Memorial Hospital Inc | Past | Accepting new patients | |
| Dickinson County Healthcare System | Past | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Marshfield Medical Center - Rice Lake | Hospital | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Medical Center - Beaver Dam | Hospital | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Medical Center - Park Falls | Hospital | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Medical Center - Park Falls Swing Bed | Hospital | Corporate Officer Corporate Director |
Jan 2, 2025 Sep 9, 2023 |
| Marshfield Medical Center - Dickinson (Swing Bed) | Hospital | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 9, 2023 |
| Marshfield Medical Center - Neillsville | Hospital | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 9, 2023 |
| Marshfield Medical Center - Neillsville | Hospital | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Medical Center Rehab Unit | Hospital | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Medical Center | Hospital | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 9, 2023 |
| Marshfield Medical Center - Eau Claire | Hospital | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 9, 2023 |
| Marshfield Medical Center - Ladysmith | Hospital | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Medical Center - Minocqua | Hospital | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Medical Center - Weston | Hospital | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 9, 2023 |
| Marshfield Medical Center - Dickinson | Hospital | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Medical Center - Dickinson | Hospital | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Hillside Manor Nursing Home | Skilled nursing facility | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Hillside Home Care HHA | Home health agency | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Medical Center - Rice Lake Home Health | Home health agency | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Medical Center - Dickinson Home Health | Home health agency | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Hillside Hospice | Hospice | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Medical Center - Rice Lake Hospice | Hospice | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Medical Center - Dickinson Hospice | Hospice | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Medical Center - Dickinson Florence Center | Rural health clinic | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 9, 2023 |
| Marshfield Medical Center - Dickinson Family Medicine | Rural health clinic | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Medical Center - Dickinson Primary Care | Rural health clinic | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 9, 2023 |
| Marshfield Medical Center - Dickinson Norway Family and Geriatric Ctr | Rural health clinic | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Medical Center - Neillsville Clinic | Rural health clinic | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 9, 2023 |
| Marshfield Medical Center - Dickinson Internal Medicine and Nephrology | Rural health clinic | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Medical Center - Dickinson Norway Center | Rural health clinic | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Medical Center - Dickinson Obstetrics & Gynecology | Rural health clinic | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 9, 2023 |
| Marshfield Medical Center - Ladysmith Clinic | Rural health clinic | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Clinic Cornell Center | Rural health clinic | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 9, 2023 |
| Marshfield Medical Center - Minocqua Clinic | Rural health clinic | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Clinic Stratford Center | Rural health clinic | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Clinic Colby/Abbotsford Center | Rural health clinic | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Clinic Greenwood Center | Rural health clinic | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Clinic Bloomer Center | Rural health clinic | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 9, 2023 |
| Marshfield Clinic Eagle River Center | Rural health clinic | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 9, 2023 |
| Marshfield Clinic Hayward Center | Rural health clinic | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Clinic Cumberland Center | Rural health clinic | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Clinic Phillips Center | Rural health clinic | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 9, 2023 |
| Marshfield Medical Center - Rice Lake Clinic | Rural health clinic | Corporate Officer Corporate Director |
Jan 1, 2025 Sep 8, 2023 |
| Marshfield Medical Center - Park Falls Clinic | 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.
-
dba Marshfield Medical Center - Beaver Dam
- General Acute Care Hospital
- Beaver Dam, WI
- NPI 1023187416
Corporate Director, Corporate Officer
-
dba Hillside Home Care (HHA)
- Home Health Agency
- Beaver Dam, WI
- NPI 1487615829
Corporate Director, Corporate Officer
-
dba (Inactive) Marshfield Medical Center - Beaver Dam Specialty Clinic
- Clinic/Center
- Beaver Dam, WI
- NPI 1508184896
Corporate Director, Corporate Officer
-
dba Hillside Manor (SNF)
- Skilled Nursing Facility
- Beaver Dam, WI
- NPI 1750451142
Corporate Director, Corporate Officer
-
dba Hillside Hospice
- Community Based Hospice Care Agency
- Beaver Dam, WI
- NPI 1962463760
Corporate Director, Corporate Officer
-
dba Marshfield Medical Center - Dickinson Florence Center (RHC)
- Rural Health Clinic/Center
- Florence, WI
- NPI 1336183052
Corporate Director, Corporate Officer
-
dba Marshfield Medical Center - Park Falls
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
Corporate Director, Corporate Officer
-
dba Marshfield Medical Center - Park Falls Clinic
- Rural Health Clinic/Center
- Park Falls, WI
- NPI 1851988810
Corporate Director, Corporate Officer
-
dba Marshfield Clinic Phillips Center
- Rural Health Clinic/Center
- Phillips, WI
- NPI 1902493976
Corporate Director, Corporate Officer
-
dba Marshfield Medical Center - Park Falls
- Medicare Defined Swing Bed Hospital Unit
- Park Falls, WI
- NPI 1902976913
Corporate Director, Corporate Officer
-
dba Marshfield Medical Center - Rice Lake
- Rural Acute Care Hospital
- Rice Lake, WI
- NPI 1154415024
Corporate Director, Corporate Officer
-
dba Marshfield Medical Center - Rice Lake Home Health
- Home Health Agency
- Rice Lake, WI
- NPI 1326139049
Corporate Director, Corporate Officer
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.
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
dba Marshfield Medical Center - Eau Claire Cancer Center
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
dba Marshfield Medical Center - Rice Lake Professional Services
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
dba Marshfield Medical Center - Neillsville Clinic
- Rural Health Clinic/Center
- Neillsville, WI
- NPI 1619966793
-
dba Marshfield Medical Center - Dickinson Professional Services
- Emergency Medical Services (Emergency Medicine) Physician
- Iron Mountain, MI
- NPI 1891751186
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.