Fern Medical and Rehab Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

FERN MEDICAL AND REHAB CORP

Practice address

5520 Fern Valley Rd
107
Louisville, KY 40228-1087

Phone

(786) 230-9648

NPI assigned

Nov 12, 2015

Last updated

Nov 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raudel Veloz

Title

President

Phone

(786) 230-9648

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1407229545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 FERN VALLEY RD",
            "address_2": "107",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402281087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 FERN VALLEY RD",
            "address_2": "107",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402281087",
            "telephone_number": "786-230-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERN MEDICAL AND REHAB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "VELOZ",
        "authorized_official_first_name": "RAUDEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-230-9648"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fern Creek Fire Protection District
• Fern Creek Fire Protection District Holding Company Inc.
• Fern Creek Highview United Ministries
• Fern Creek Highview United Ministries, Inc.
• Fern Creek Traditional High School
• Fern Valley Chiropractic LLC
• Roger Fernandez Abigantud
• Alicia Beatriz Fernandez, M.D.
• Cindia Maria Fernandez
• John Fernandez

• General Practice Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.