Active NPI
Hector N Hernandez, MD
- Otolaryngology Physician
- Amarillo, TX
National Provider Identifier
1487662482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- R8574
- Practice address
- 3501 S Soncy Rd Ste 140
Amarillo, TX 79119 - Phone
- (806) 355-5625
- Fax
- (806) 352-2245
- NPI assigned
- Aug 4, 2006
- Last updated
- Jan 21, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | R8574 | TX | Primary |
Addresses
Primary practice location
3501 S Soncy Rd Ste 140
Amarillo, TX 79119
Mailing address
PO Box 90
Placida, FL 33946-0090
Phone (941) 769-2672
Other practice location 1
21297A Olean Blvd
Port Charlotte, FL 33952-6704
Phone (941) 764-0660
Other practice location 2
21297A Olean Blvd
Port Charlotte, FL 33952-6704
Phone (941) 764-0660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 387478601 | Medicaid | TX | |
| 695647 | Other | TX | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port Charlotte Hma Physician Management LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Shorepoint Obstetrics and Gynecology- RHC
- Rural Health Clinic/Center
- Arcadia, FL
- NPI 1730672379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1487662482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90",
"city": "PLACIDA",
"state": "FL",
"postal_code": "339460090",
"telephone_number": "941-769-2672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 S SONCY RD STE 140",
"city": "AMARILLO",
"state": "TX",
"postal_code": "79119",
"telephone_number": "806-355-5625",
"fax_number": "806-352-2245"
}
],
"practiceLocations": [
{
"address_1": "21297A Olean Blvd",
"address_purpose": "LOCATION",
"city": "Port Charlotte",
"state": "FL",
"postal_code": "339526704",
"country_code": "US",
"telephone_number": "941-764-0660",
"fax_number": "941-764-0664",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21297A Olean Blvd",
"address_purpose": "LOCATION",
"city": "Port Charlotte",
"state": "FL",
"postal_code": "339526704",
"country_code": "US",
"telephone_number": "941-764-0660",
"fax_number": "941-764-0664",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "HECTOR",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "R8574",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "387478601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "695647",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.