Dennis L Fernandez MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25395 Issued in AL

Legal business name

DENNIS L FERNANDEZ MD PC

Practice address

4025 Pepperwood Cir SW
Suite C
Huntsville, AL 35801-7433

Phone

(256) 882-1908

Fax

(256) 882-1907

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dennis L Fernandez, M.D.

Title

President

Phone

(256) 882-1908

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Marc Stuart Zelickson, M.D.

  • Surgery Physician
  • Huntsville, AL
  • NPI 1649439472
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1639396187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 PEPPERWOOD CIR SW",
            "address_2": "SUITE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017433",
            "telephone_number": "256-882-1908",
            "fax_number": "256-882-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 PEPPERWOOD CIR SW",
            "address_2": "SUITE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017433",
            "telephone_number": "256-882-1908",
            "fax_number": "256-882-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS L FERNANDEZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-882-1908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "25395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009935184",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649439472",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elisabeth Denly
• Jamie Denmark, CRNP
• Jessica Denney, PNP
• John Marshall Denney, PAC
• Katie Elaine Denney, DDS
• Caroline C Dennis, PHARMD
• David Arnold Dennis, D.M.D.
• Whitney P Dennis, CRNP
• Laurel A Dennison, CNA
• Dental Associates of Huntsville, LLC

• Surgery Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.