Rick J Hernandez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2008-01465 Issued in NC

Practice address

3960 Executive Park Blvd
Suite 600
Southport, NC 28461-8184

Phone

(910) 454-4343

Fax

(910) 457-9209

NPI assigned

Jun 5, 2007

Last updated

Nov 5, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Engineering

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11802/brand/1/csg/1/fhir/r4

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.

• Brunswick Family Medicine PA

  • Family Medicine Physician
  • Southport, NC
  • NPI 1396859872
  Medicare reassignment NPD
• Burgaw Medical Center, P.C.

  dba Hampstead Family Medicine

  • Family Medicine Physician
  • Hampstead, NC
  • NPI 1700104775
  NPD (past)
• Randy M. Sloan Family Medicine, P.a

  • Primary Care Clinic/Center
  • Hampstead, NC
  • NPI 1073644928
  NPD (past)
• Surf City Urgent Care and Family Medicine PLLC

  • Family Medicine Physician
  • Surf City, NC
  • NPI 1538232327
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1437351806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 EXECUTIVE PARK BLVD",
            "address_2": "SUITE 600",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618184",
            "telephone_number": "910-454-4343",
            "fax_number": "910-457-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 EXECUTIVE PARK BLVD",
            "address_2": "SUITE 600",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618184",
            "telephone_number": "910-454-4343",
            "fax_number": "910-457-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "RICK",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2008-01465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913552",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph P Hatem, MD
• Denise Beth Hayes, RPH, MS, CCP
• Rebecca Jane Hedgecock, MA, NCC, LPC
• Marty Lee Hendrick, PHARM D
• Anne Marie Henschel
• Mark Herzog, PTA
• Kaylee Heschke
• Carol H Hester, MA
• Karen Hewett
• William Wesley Hickman, PHARMD

• Family Medicine Physician in Southport, NC
• Providers in Southport, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.