Active NPI
Juan A Fernandez, MD
- Urology Physician
- Ozark, AL
National Provider Identifier
1396747382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 04-26392
- Practice address
- 2126 W Roy Parker Rd
Suite 202
Ozark, AL 36360-8566 - Phone
- (334) 774-1200
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 04-26392 | KS | Primary |
Addresses
Primary practice location
2126 W Roy Parker Rd
Suite 202
Ozark, AL 36360-8566
Mailing address
2126 W Roy Parker Rd
Suite 202
Ozark, AL 36360-8566
Phone (334) 774-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-26392 | KS | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396747382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2126 W ROY PARKER RD",
"address_2": "SUITE 202",
"city": "OZARK",
"state": "AL",
"postal_code": "363608566",
"telephone_number": "334-774-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2126 W ROY PARKER RD",
"address_2": "SUITE 202",
"city": "OZARK",
"state": "AL",
"postal_code": "363608566",
"telephone_number": "334-774-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "JUAN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "KS",
"license": "04-26392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ozark, AL
- Encore Rehabilitation Inc (Encore Rehab of Ozark)
- Enlighten Behavioral Consultation, LLC
- Eyecare Associates, Inc. (Eye Care Associates)
- Faith Ministry Trinity Life Family Inc
- Patty Fenn, MS, CCC-SLP
- Anne Marie Flannery, PT
- Joterian C Flowers, CRNP
- Kanadia Deshion Flowers
- Maddison Foss-Cormier
- Tara S Fowler, M.S. CCC/SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.