Rodolfo E Fernandez MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RODOLFO E FERNANDEZ MD PA

Practice address

724 Maiden Choice LN Ste 202
Catonsville, MD 21228-5963

Phone

(410) 747-6080

Fax

(410) 747-3495

NPI assigned

Dec 19, 2006

Last updated

Aug 22, 2019By 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

Dr. Rodolfo Enrique Fernandez, M.D., M.H.S.A.NPI 1487661237

Title

President

Phone

(410) 747-6080

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10961/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rodolfo Enrique Fernandez, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Catonsville, MD
  • NPI 1487661237
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1447313432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 MAIDEN CHOICE LN STE 202",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285963",
            "telephone_number": "410-747-6080",
            "fax_number": "410-747-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 MAIDEN CHOICE LN STE 202",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285963",
            "telephone_number": "410-747-6080",
            "fax_number": "410-747-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODOLFO E FERNANDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-747-6080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.H.S.A."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090788000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jazmin Nicole Rivera, LCSW-C
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• Robert C. Ammlung, M.D.P.a.
• Patricua C Roberts-Rose, LCSW-C
• Desiree N. Robinson, LCSWC
• Roho Amani & Nia LLC
• Melissa Rohrbaugh
• Rooted Beginnings LLC
• Jack William Rose, OTR/L
• Christopher Roseboom, PT

• Internal Medicine Physician in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.