Carlos Fernando Hernandez, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2001024015 Issued in MO

Practice address

145 Technology Parkway NW
Norcross, GA 30092-2319

Phone

(800) 780-3500

Fax

(770) 248-6710

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Carlos Camarero Hernandez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mercy Health System Corporation

  dba Mercy Hospital Janesville

  • General Acute Care Hospital
  • Janesville, WI
  • NPI 1093768962
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477603447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 TECHNOLOGY PARKWAY NW",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922319",
            "telephone_number": "800-780-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 TECHNOLOGY PARKWAY NW",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922319",
            "telephone_number": "800-780-3500",
            "fax_number": "770-248-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CARLOS",
        "middle_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2001024015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "HERNANDEZ",
            "middle_name": "CAMARERO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melissa Heller, OT/R
• Jonna Kay Hemminger
• Carmen Denney Henderson, FNP-BC
• Alyssa Marie Henriksen, B.S., BT
• Jasmine Deidre Henry, NP
• Hector Hernandez, FNP-C
• Sergio O Hernandez, PT.
• Yessica Hernandez, PA-C
• Brandi Herr-Norris
• Linda Schwager Herring, LPC

• Internal Medicine Physician in Norcross, GA
• Providers in Norcross, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.