Individual provider Active NPI

Hector N Hernandez, MD

  • Otolaryngology Physician
  • Amarillo, TX
National Provider Identifier
1487662482
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
R8574 Issued in TX
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
387478601MedicaidTX
695647OtherTXMEDICARE

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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.