Individual provider Active NPI

Eduardo J Hernandez, M.D.

  • Pediatric Pulmonology Physician
  • Slidell, LA
National Provider Identifier
1508863002
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
8327R Issued in LA
Practice address
1430 Lindberg Dr
Slidell, LA 70458-8056
Phone
(985) 781-7337
Fax
(985) 781-7339
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X 8327R LA Primary

Addresses

Primary practice location

1430 Lindberg Dr
Slidell, LA 70458-8056

Mailing address

1430 Lindberg Dr
Slidell, LA 70458-8056
Phone (985) 781-7337

Other names 1

  • Dr. Eduardo J Hernandez Moreno Other name

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

State licenses

LicenseStateTypeSpecialty
8327RLAMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Red Stick Emergency Group LLC Past Accepting new patients
Children'S International L.L.C. PastSince Jan 20, 2010 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508863002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 LINDBERG DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588056",
            "telephone_number": "985-781-7337",
            "fax_number": "985-781-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 LINDBERG DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588056",
            "telephone_number": "985-781-7337",
            "fax_number": "985-781-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "EDUARDO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "LA",
            "license": "8327R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDUARDO",
            "last_name": "HERNANDEZ MORENO",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

  • 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.