Organization Active NPI

Fernando MD & Associates

  • Psychiatry Physician
  • Lancaster, PA
National Provider Identifier
1487773974
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD032055E Issued in PA
Legal business name
FERNANDO MD & ASSOCIATES
Practice address
231 N Shippen St
Unit 21 B
Lancaster, PA 17602-2770
Phone
(717) 239-0320
Fax
(717) 239-0322
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Maria Corazon Fernando, M.D.
Title
M.D.
Phone
(717) 239-0320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD032055E PA Primary

Addresses

Primary practice location

231 N Shippen St
Unit 21 B
Lancaster, PA 17602-2770

Mailing address

231 N Shippen St
Unit 21 B
Lancaster, PA 17602-2770
Phone (717) 239-0320

Other identifiers 2

IdentifierTypeStateIssuer
372656OtherPABLUESHIELD
02312000OtherPABLUECROSS

National Provider Directory

National Provider Directory

Locations

231 N Shippen St
Ste 21B
Lancaster, PA 17602
Phone (717) 239-0320

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487773974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 N SHIPPEN ST",
            "address_2": "UNIT 21 B",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022770",
            "telephone_number": "717-239-0320",
            "fax_number": "717-239-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N SHIPPEN ST",
            "address_2": "UNIT 21 B",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022770",
            "telephone_number": "717-239-0320",
            "fax_number": "717-239-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO MD & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CORAZON",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "717-239-0320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD032055E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "372656",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "02312000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.