Pedro R. Hernandez M.D. P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

E5385 Issued in TX

Legal business name

PEDRO R. HERNANDEZ M.D. P.A.

Practice address

1901 Medi Park Dr
Suite 138
Amarillo, TX 79106-2110

Phone

(806) 355-3364

Fax

(806) 355-0108

NPI assigned

Oct 1, 2007

Last updated

Oct 4, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

PEDRO R. HERNANDEZ M.D.P.A.As reported in NPPES

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

Authorized official

Name

Dr. Pedro R. Hernandez, M.D.NPI 1548257900

Title

Owner

Phone

(806) 355-3364

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

Pedro R Hernandez MD

Locations

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.

• Pedro R Hernandez, M.D. P.A.

  • Cardiovascular Disease Physician
  • Amarillo, TX
  • NPI 1548257900
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1447447735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR",
            "address_2": "SUITE 138",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062110",
            "telephone_number": "806-355-3364",
            "fax_number": "806-355-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR",
            "address_2": "SUITE 138",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062110",
            "telephone_number": "806-355-3364",
            "fax_number": "806-355-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO R. HERNANDEZ M.D. P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDRO R. HERNANDEZ M.D.P.A.",
        "enumeration_date": "2007-10-01",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-355-3364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "E5385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134882305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valeria Ellis Paz
• Krista Lee Peace, COTA
• Chad Pearson, DC
• Merten Gene Pearson, DVM
• Paul C Pearson, D.P.M.
• Wendy Ann Peeples, LPC
• Jereamiah Pemberton
• Katie Louise Pemberton, FNP-C
• Pendergrass Wilkie Dentistry Partnership
• Tyler Lee Pendergrass, D.D.S.

• Specialist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.