Organization Active NPI

Barry Fernando, MD and Coleene Fernando, MD PC

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1386970531
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17802 Issued in AZ
Legal business name
BARRY FERNANDO, MD AND COLEENE FERNANDO, MD PC
Practice address
2777 E Camelback Rd
#140
Phoenix, AZ 85016-4347
Phone
(602) 956-3596
Fax
(602) 956-4762
NPI assigned
Oct 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Barry Fernando, M.D.
Title
Medical Director
Phone
(602) 956-3596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 17802 AZ Primary

Addresses

Primary practice location

2777 E Camelback Rd
#140
Phoenix, AZ 85016-4347

Mailing address

2777 E Camelback Rd
#140
Phoenix, AZ 85016-4347
Phone (602) 956-3596

National Provider Directory

National Provider Directory

Locations

2777 E Camelback Rd
Ste 140
Phoenix, AZ 85016
Phone (602) 956-3596

2398 E Camelback Rd
Ste 780
Phoenix, AZ 85016
Phone (602) 956-3596

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1386970531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 E CAMELBACK RD",
            "address_2": "#140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164347",
            "telephone_number": "602-956-3596",
            "fax_number": "602-956-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 E CAMELBACK RD",
            "address_2": "#140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164347",
            "telephone_number": "602-956-3596",
            "fax_number": "602-956-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY FERNANDO, MD AND COLEENE FERNANDO, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "FERNANDO",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "602-956-3596",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "17802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.