Individual provider Active NPI

Annette M Hernandez-Parkhurst, MD

  • Obstetrics & Gynecology Physician
  • Tucson, AZ
National Provider Identifier
1477545788
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
30162 Issued in AZ
Practice address
225 W Irvington Rd
Tucson, AZ 85714-3054
Phone
(520) 884-9287
Fax
(520) 623-0992
NPI assigned
Aug 22, 2005
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 30162 AZ Primary

Addresses

Primary practice location

225 W Irvington Rd
Tucson, AZ 85714-3054

Mailing address

225 W Irvington Rd
Tucson, AZ 85714-3054
Phone (520) 884-9287

Other practice location 1

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-5524

Other identifiers 1

IdentifierTypeStateIssuer
703373MedicaidAZ

Other names 1

  • Annette M Hernandez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20110217000706 AZ Practitioner - Obstetrics/Gynecology 0042491441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arizona College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3655 E Grant Rd
Tucson, AZ 85716-2933
Phone (520) 670-3909

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Aug 1, 2002 Accepting new patients
TMC Medical Network CurrentSince Apr 1, 2018 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Aug 1, 2002 Accepting new patients
Tucson Medical Center Past Accepting new patients
El Rio Santa Cruz Neighborhood Health Center Past Accepting new patients

Locations

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

1500 W Commerce Ct
Bldg 12
Tucson, AZ 85746

6950 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 309-2289

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

225 W Irvington Rd
Tucson, AZ 85714
Phone (520) 670-3857

5979 E Grant Rd
Ste 107
Tucson, AZ 85712
Phone (520) 535-2588

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1477545788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W IRVINGTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857143054",
            "telephone_number": "520-884-9287",
            "fax_number": "520-623-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W IRVINGTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857143054",
            "telephone_number": "520-884-9287",
            "fax_number": "520-623-0992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122805",
            "country_code": "US",
            "telephone_number": "520-324-5524",
            "fax_number": "520-324-2927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ-PARKHURST",
        "first_name": "ANNETTE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "30162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "703373",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "HERNANDEZ",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.